Louis Manara

Doctor Manara seemed to genuinely care about us as humans and did not just see us as a number or as dollar signs. Doctor Manara did not sugar coat anything during our time under our care and was honest the whole time. I liked how after every ultrasound we got to sit down with Doctor Manara himself and ask any questions we had in person and get feedback.

My one piece of advice is to check out 2-3 clinics before picking one making sure Doctor Manara is one of those 2-3. I bet you’ll like him and his practice the best.

For my retrieval with Doctor Manara I used clomid, gonal f, menopur, ganirelix, hcg trigger, and omnitrope. I believe it was for the transfer that I used estrogen. Also for the transfer I used progesterone in oil shots.

I do not remember.

Doctor Manara advised to transfer one embryo since I had PGD & PGS testing and we knew ahead of time the chance of miscarrying was much lower. Twin & multiple pregnancies are higher risk.

I liked having only one doctor every time. If I asked a question, he would answer, and he was willing to change my treatment when I asked. A weakness would be that he never asked how I was feeling with treatment like if I was having any negative symptoms. I get that patients should be confident and speak-up, but sometimes it's difficult to know the difference between treatment symptoms and pre-existing issues like endo pain, cysts, etc.

Educate yourself, so you know what questions to ask. Also, if you don't get why he's going down a certain route just ask, and he will explain it, so that it makes sense.

3 rounds of clomid for luetal phase deficiency. Tweaked Clomid dose each time when not successful. Switched to injectables w/ timed relations after that. I don't have fertility coverage, so that's why we didn't do IUI.

Copays every time. Clomid was $13/ 5 pills HcG trigger 130 if taken at office IUI was $500 or 600 w/o insurance Helped me order Gonal-F through a foreign pharmacy for $450 per pen

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Dr. Manara was incredible. He cared and went above and beyond to answer our questions and ensure we knew what was going on. He allowed us to make the choice to go to retrieval even with so few eggs and we got our miracle because of that!

Trust him. Ask questions, be informed and make suggestions, but ultimately trust him. He knows what he’s doing.

First was high injections, gonal f, menopur and cetrotide. Responded poor. Got 4 eggs, 1 poor quality embryo that we transferred and it didn’t work. Waited 3 months and took CoQ10, DHEA and Vitamin D to help egg quality. Second was again high with pills added, and I didn’t respond, we canceled. Birth control pill to time cycle suppressed me. Third round we started naturally, primed with estrogen and androgen. We did same drugs but much lower protocol, we only got 3 eggs, but two were good and we got two embryos. Transferred both at 3 days and pregnant with a singleton.

It was always early am which worked best. The techs were great and there were only a couple so you got to know them as well. Again very personalized.

It’s hard to say bc I have good insurance. What I paid was nowhere near what he billed my insurance. For 3 rounds all the visits, labs, imaging and treatments not including meds because they were purchased there was probably around 7k. I paid an additional 4-5k for meds.

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I feel Dr. Manara TRULY cares about each patient. I have a few girls in my local support group that go to him as well and everyone says the same thing: he is compassionate and dedicated to helping us get pregnant. I would like to know our numbers without asking (sometimes he forgets to tell us) but when we ask a question he is ALWAYS willing to answer them honestly. I really trust him that he will get us to the results that we want. We appreciate everything he has done for us thus far.

GO SEE HIM! haha He handles your care from start to finish. We switched clinics because the previous one we saw a different doctor every time. Dr. Manara is a one man show and does every single procedure himself.

We have done 6 cycles total. One timed intercourse cycle - no IUI and 5 IUI's medicated with Clomid. I have PCOS and was not ovulating regularly so with the help of Clomid I have been regularly ovulating each month. I think Dr. Manara's diagnosis and treatment were spot on.

Costly - but only because we did not have the fertility benefit in our health coverage. The doctors office DID help us whenever we needed it, and we appreciated that greatly.

Having had been treated with clomid, two ius, and three ivf egg retrievals I should have walked out of his office with a baby. I had been pregnant on my own so I knew it was possible. He never told me to take supplements or showed me ways that I could improve my fertility on my own. My first retrieval the drug he gave me for trigger had a negative effect on me and none of my eggs were good. It was a complete waste. I should have left then, but was naive and knew my insurance would cover me for three more rounds. Second time, I got more eggs but due to a potential snow storm he had me do a fresh transfer and I was able to freeze one. Both of the transfers ended in BNF. Third retrieval was the best for me, I was able to freeze four. All three transfers were BNF and I had to beg him to allow me to transfer two embryos for the final transfer. I was totally aware of the risk of carrying twins and he finally gave me the okay. Every transfer he used the same exact protocol. Something should have changed at some point but it never did.

If you don’t get results, start asking questions and if you feel like you are getting lip service find a new doctor.

He monitored me every other day for IVF. Each Ivf cycle be used the same drugs and they were never adjusted during stims. I was also diagnosed with a thyroid issue and that was not tested unless I asked for it to be. After each retrieval he has me take medication Incase I had to do a fresh transfer. When I did the frozen transfer each time again, same protocol, estrogen and that was it until the progesterone shots.

I am very fortunate, I only had to pay my $10 co-pay for appointments and most medication. I had to pay $400 for anesthia for retrievals. There was also a fee for freezing and storage but it was prorated if the embryos weren’t frozen for a year and I received money back.

Based on my age he felt I should only ever transfer one, however after none of the transfers working, on my last transfer I wanted to do two because I could not take the heartbreak anymore.

Louis Manara is a compassionate doctor. With my case specifically (Hyperplasia A-typia, PCOS), I realized that I needed one on one attention and that I could not be another number at a multiple doctor fertility clinic. Even though I was only with him for one IUI cycle before my hyperplasia reoccured, I will be going back to him after for future treatment if it clears.

If you need one on one attention, this is your doctor in south jersey.

Letrozole, HCG shot, and IUI insemination. One round.

only paid for the hcg shot which was not covered by my insurance.

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He is warm and compassionate. I see him at every visit and he takes the time to answer all your questions. I do sometimes feel like he's ready to walk out when I still have questions because he's very busy. However, after my failed transfer he spoke to me on the phone for 10 mins discussing options. I also wish I knew all the steps to retrieval ahead of time, like when I'd be taking each medicine and what they all do. Some meds were delivered to me and I had no idea what they were.

Make sure your male partner gets a semen analysis right away.

Follistim & Menopur, followed by ganirelix. Since my estrogen was high, we triggered with Lupron to avoid OHSS. Use estrace to prepare lining for FET, then PIO Injections.

$30 Co-pay

He believes is transferring one at a time. I agree with that for the first couple tries, but would then move to 2.

Impersonal. Convincing during the consult but my experience turned out to be very different. Did not perform baselines before starting a new cycle which landed me in the ER for a night with a large ovarian cyst. I had called him with concerns about my pain a week prior and many hours later a nurse returned my call and said he wasn't concerned and that was all - blew me off entirely.

If you have not been through fertility treatments and don't know the processes and what to expect, be cautious. Ask questions. There are better places in the area. Consider that there is only one doctor in the entire practice with however many patients - that affects quality of care.

I couldn't be more happy. Extremely friendly and professional staff. Dr Manera made me feel comfortable and was gentle and compassionate in his demeanor. Wait times were pretty short. Procedures were explained well. I hope to go back again soon!

He is a wise man, take his advice for procedures. Have hope and dont give up!

Hmm....maybe 10k? we were lucky enough to have insurance coverage

Dr. Manara truly cared about my results and he told me over and over we would be successful even though it was hard to believe after so many failed attempts at another practice. Dr. Manara is one of a kind in his field and I can't say enough positive things about my time see his care.

Trust Dr. Manara! He knows his stuff.

Co-pay

Dr. Manara was amazing from the 1st day my husband & I met him till the day I was released to my Ob. I never met someone that was as focused as I was to making my dream become a reality. I felt comfortable knowing he was going to make me a Mama & believed in his plan for me.

Never give up, keep a positive attitude & find someone that has gone through ivf. Ivf warriors stick together & allow you to know you're not the only one going through it.

I was given the normal medication for my retrievals. Also given progesterone oil for after the transfer. All of the medications are to help stimulate & correctly keep levels where they needed to be.

They were responsible. I was a self pay individual. My insurance did not cover any costs for treatments.

I've done both 1 or 2 during my transfers.

I would recommend Dr. Manara to anyone. His management of our expectations for IUI, thoroughness of explanation of preparation, and his compassion during our miscarriage went above and beyond what we could have expected. We have not brought a baby home yet, but I have no doubt Dr. Manara will do all he can to help us get there.

We are very lucky that all of our treatment thus far has been at least partly covered by insurance, with our two IUIs costing us less than $500 total