Lauren Alexandra Rubal

Dr Rubal is a true ally when it comes to infertility. She always treated us with respect and made me feel supported, heard and validated throughout the course of treatment. She made an effort to reach out and check on me when things weren’t a positive outcome. She always made me feel like I was her most important patient and that I could contact her and message her whenever and never made me feel like she didn’t have time, she was always very accommodating and empathetic. She never pressured me or pushed me to make a decision I did not feel comfortable with.

Don’t be afraid to ask her questions, she will always support you and won’t make you feel less than.

During my first treatment cycle, we used Clomid, my lining did not do well with that form of treatment so she added in vaginal estrogen pills, which helped. She expressed that this may not have a positive outcome and encouraged us to save money by not doing IUI on a potentially compromised cycle. Our next 2 cycles we used menopur due to the thinned lining on clomid, did HCG trigger/ovidrel, and IUI. I was sent home with vaginal progesterone (endometrin). Our last cycle we used menopur, ovidrel, IUI and did progesterone in oil. We changed to the PIO per my request to ensure I was actually absorbing the progesterone because I did not like the vaginal suppositories.

My care was covered 50% by insurance, my 3 cycles of medication and IUI with labs cost somewhere between $2500-3000.

The world needs more doctors like Dr. Rubal. She knows how to connect with her patients and create a safe feeling environment. She ensures you walk out of the appointment feeling confident and educated. Infertility can be scary but having her as our doctor made for a positive experience.

Ask questions, she does an excellent jobs ensuring she answers any questions you have and makes herself available through email for any after thoughts or concerns once you have left your appointment.

She watched my Menopur prescription closely changing the dosages as needed for optimal results leading up to our IUI. She kept a close watch on our follicle count and growth ensuring safety and making changes to the plan as needed.

Our insurance covered 50% of our office visits and procedures.

I could not have asked for a better doctor to help me on my fertility journey. She was incredibly knowledgeable and explained each procedure in detail so there were no surprises. She truly cares and considers each patient when creating a game plan for treatment. She is incredibly drywall oriented and I was always comfortable asking her questions and she welcomed them knowing that I was nervous and scared to be doing IVF. We are beyond grateful for having a doctor like her!

Trust her, but don’t be afraid to ask questions even if you think they are ridiculous. Just know that she will always explain the process in great detail.

During my 6 cycles of IUI we did clomid and progesterone. Once we progressed to IVF we did clomid, hormone shots. Once we did the transfer I was doing progesterone suppositories as well as progesterone oil injections, blood thinner injections, baby aspirin and prednisone for 14 weeks.

It cost around $30,000 for everything including egg retrieval, freezing for a few months, medication and embryo transfer

We decided to only transfer 1 of my eggs for several reasons. The potential for carrying multiples can create a difficult pregnancy, the babies could have been born too early. I was a already slightly over weight and it could have been more difficult for me gaining too much weight. We just decided to be conservative with it.

I could not have asked for a better experience. Dr. Rubal held my hand the whole way. I felt like she was there for me. The process is stressful on so many levels. She was a good listener. She was able to reassure me when I thought I'd made mistakes. She was patient with me when I had her paged at home because I was panicking about something. She was able to talk me thru pros and cons of different treatments. She was very good at making sure the treatment plan took into account the whole picture.

She is very warm and outgoing. If you want to feel like you are getting help from a friend she's for you.

Unfortunately, I've waited to do this review and I don't remember the specific protocols etc. I am/was older when I got started. I was intent on just doing it as "natural" as possible. Dr. Rubal was totally fine doing it that way. After one IUI it became apparent my cycle was incredible erratic and in the interest of saving money on office visit waiting for me to ovulate we started a medicated cycle. We used clomid and I think that was it. On my 3rd IUI we were a little more aggressive. After 3 IUI I was required to have a consultation. At the consultation Dr. Rubal was very honest and explain that based on my age it was recommended that I start trying IVF. However, she knew money was a big issue for me and also said that we could keep trying IUI (Once I started the process I had mentally decided I would try 5 times.) and she recommended some medications for that but I don't remember. While waiting for my next cycle I decided I wanted to do IVF. I follow Dr. Rubal to the Reproductive Fertility Center to do IVF. I was very happy to be able to continue using Dr. Rubal and not having to change (Kaiser doesn't do IVF). I had a very successful Egg Retrieval. However, my first FET was cancelled due to poor uterine lining. I was disappointed. The egg retrieval made my fibroids grow quite large and were of a size to be removed. I had 2 when I first went in they were fairly small I don't remember the numbers. After the egg retrieval they were close to 5mm (I am guessing on the number it has been a year and a half). It was recommend as a possibility to remove they to improve my chances of conceiving. My age and financial situation made that a very difficult situation. Dr. Rubal recommended that simply try again as the fibroids were large but not in a bad location. I was very stressed out and she talked me thru my anxiety and stress. She was supportive of me doing a few homeopathic things to help with my lining. We did a second FET and everything went great. Dr. Rubal even came in on her day off to do the transfer!! I so appreciated it. My pregnancy test came back positive but a bit weak. We did 2 more test which were positive.

My Kaiser plan covered 50% and 50% of the medications. It was about $2000 with appointments and medication for the IUI.

At my age at the time of transfer (42) I think it is sometimes recommended that you transfer 2 at the same time. Dr. Rubal said they were planning on just doing one and she felt that was the best coarse of action. After genetic testing I only had 2 embryos left of 11, so I felt if it didn't work having another egg to try again would be better. Also, I did a little research and found that while having 2 transfers upped your chances of becoming pregnant it did not increase your chance of carrying to a live birth. Lastly, as a single mom by choice I wanted to limit my chances of multiples.

Dr. Rubal is very personable. I always felt comfortable talking to her about personal details. I also felt she really listened and did everything she could to help us conceive. Dr. Rubal took the time to really get to know us and our situation. She shared her knowledge and was always honest with us throughout our treatment path. When we ran into a bump in the road, she would deliver the news gently and then come up with a plan to overcome. She helped us deal at ease through the process, which was comforting with the stress on infertility.

As hard as it can be, don’t stress yourself out. Stress can cause additional problems. Stay positive, enjoy life, and be patient with the process.

It was originally recommended that we do IVF in order to conceive. However, we could not financially do that at the time. So we decided to complete rounds of IUI since it was covered by insurance. We did 2 rounds, which were unsuccessful. Dr. Rubal was aggressive, but cautious with my medications and timing of the IUI. She walked us through each stage of the process and was always positive with our treatment path. We took a few years off and went back to her this year. She remembered me right away upon coming back and was excited to get us on another IUI cycle right away. This last cycle she went a little more aggressive with the dosage of my infections to get better results, and we did! She recommended I transition to an IVF cycle because I had such a high reaction to the dosage. She then went around calling clinics on. Saturday for me so that I wouldn’t lose the results of my cycle.

All IUI cycles were covered by my insurance. When the clinic did IVF, I was quoted $12,000-$18,000. But, Kaiser no longer performs IVF.

have been treated by Dr. Rubal for about two years. She has been incredible to work with. She's always very thorough and takes the time to answer all my questions. She's very cautious when developing treatment plans and I truly feel like she always has my best interest in mind. Infertility is a long, hard journey but having the right doctor on my side has made it a little easier. She follows new studies and research and always has new insights to offer. I've seen 3 other infertility doctors and she is by far the best which is why i'm willing to travel 1.5 hours to see her. I highly recommend her to anyone struggling with infertility.

Feel free to ask a lot of questions and let her know if you have any concerns so she can address them. She's always very thorough and happy to provide insight.

I appreciated the way Dr. Rubal explained everything to my husband and I at our initial consultation. From there, each time we met, I always felt like she answered all my questions, and gave me clear plans on where we should go next, without feeling forced that it was our only plan of action. I still felt like it was my decision to make for each part of the process, with a clear and understandable plan and guidance on what we should do. I liked that I actually saw Dr. Rubal on every single one of my appointments, except one ultrasound. I was told I may see different doctors during my IUI cycles because I was going in for ultrasounds so frequently. During my first IUI procedure, I was really nervous, not really knowing what to expect. Dr. Rubal made it very comfortable, by explaining exactly what she was doing, and walking me through the process. There were no surprises and made the process very comfortable. Dr. Rubal really knows what she's doing, and even though we haven't gotten pregnant yet, I really like working with Dr. Rubal.

Don't be afraid to ask questions if you have any.

My case being a bit unique, I appreciated that Dr. Rubal looked into what would be the best protocol for me specifically. Although I am only 30, I never felt like she categorized me as "you're so young, you'll be fine" or anything of that nature. She took me seriously, and allowed me to be my own advocate. With my history of elevated LFTs, we jumped straight to an all injections round for IUI instead of using clomid or letrazole which could have irritated/inflammed my liver further. After months of working on getting my LFTs to stabilize, we used menopur (1-3 vials/night) to get my follicles to mature. Each cycle (we did 2), the plan was "slow & steady". With having PCOS, I have no shortage of follicles, and we wanted to be sure we didn't over stimulate. My first IUI cycle, I had 1 mature follicle before trigger, and the second IUI cycle, I had 2 (almost 3) mature follicles before trigger. Each cycle, I had a hard time thickening my lining, and therefore that could have been a reason for no implantation, but can't be certain. Although I didn't get pregnant from either cycle, I am aware of the percentage of success with IUI and therefore we are contemplating doing another IUI or moving onto IVF.

My insurance only covers 50% of infertility (no coverage on IVF), so my copays were about $160 and meds were still very expensive.

Dr. Rubal was my first Reproductive Endocrinologist. I've suffered multiple miscarriages and was FINALLY referred to a specialist. She has been absolutely amazing. She has explained her course of action, the reasons for it and every risk and possible outcome along the way. Ive cried in her office and she has made me feel hope again. We are still working on my rainbow baby but I have faith in Dr. Rubal.

Tell her everything you are concerned about. Do not be afraid to email her office.

We were investigating recurrent miscarriage. We first did all the usual blood work. Second made sure my tubes werent blocked and that my uterus was normal shape using a saline sonogram. When she suspected a bicornate uterus or scarring we then did a hysteroscopy. She wanted to remove and scarring before I tried to get pregnant again. When the hysteroscopy showed my uterus was nomal she prescribed progesterone and aspirin to start the next time I get a positive pregnancy test. She also referred me to another specialist to figure out what can be done about my endometriosis pain.

I pay $430 a month for health insurance through kaiser. No fertility treatments are covered or offered. My recurrent pregnancy loss was investigate. My copays were $30 each time I saw the doctor

Dr Rubal is very caring and empathetic to the difficulties of infertility treatments. She is candid about the risks and potential negatives of each course of treatment. On the weaknesses, Dr Rubal threw climid at me even though she explained there was less than 5% chance it would work. Dr Rubal informed me that I needed to get another cyst removed before moving forward, but did not discuss what would come next after my cyst removal. Dr Rubal also neglected to follow up and be along with the symptoms I was experiencing due to a 7 inch cyst. I inquired about freezing eggs due to risk of losing my one and only ovary left prior to my surgery. Dr Rubal informed me there "was no way" which was very unsettling without fully understanding why there was "no way" to freeze eggs.

Advocate for yourself, tell her how you are feeling and what you need.

HSG test (3 times) too see if tube is blocked 2 ovarian cyst removal surgeries 2 rounds of clomid - 1 at 50 mg -1 at 100 mg both she only followed up via email and I never stepped foot into her office during the rounds of clomid

Most was covered through insurance benefits. We had a 15 dollar co-pay for each visit. My HSG tests had no co-pay, and my surgeries had 15 dollar copay

Dr. Lauren is gorgeous, inside and out.She has been very helpful in our fertility journey. She meticulously explains every steps of the treatment plan and respects the decision we make, not forcing us to do procedures that we felt we’re not ready. She has a positive vibe that’s infectious and also has the gentlest hand in performing TV ultrasound.

Clomiphene Menopur Ovidrel

350 USD per consult 550 for Femvue study 1850 Ovulation package