Paul Magarelli

Dr. Mag is very set in his ways and isn't open to suggestions. He is not always the best listener, or maybe just wants to push his agenda. As others have mentioned, he likes to push IVF and procedures (of course, this is how he is paid.) Although I believe that he is a bright doctor and knows what he is doing, he overlooks some things such as I was taking a supplement for months that was actually worsening my PCOS.

Make sure to be your own patient advocate. I know medical things and do lots of research and still felt uncomfortable pushing back or asking for some things. And if you have health insurance that covers infertility, yikes, good luck.. It's been a nightmare for me.

IUI was suggested initially since I just had an ovulation problem. I told him I would like to just try ovulation meds to start with. Letrazole 2.5mg increasing by 1 tablet over 4 days was tried for two cycles. Unfortunately, my follicles did not grow with either cycle and we will be moving on to injectable medications once it has been approved by my insurance. This doctor will not prescribe Clomid or Metformin.

I am still in the middle of treatment, and honestly I have no idea where the money part lies. Sometimes they collect a co-pay, other times they don't. They definitely need their money up front. I've paid two separate $200 bills for services that have not yet been rendered. I feel like I had unnecessary diagnostic procedures done that others in my situation have not had to do.

Doctor Magarelli is very scientific and to the point. He is caring. Blunt and honest. He has done his research and has number to prove it. Just wish he took a step back and made sure we were ready to implant after miscarriage at 28weeks. We thought we were, he said after we failed pregnancy test that we weren't.

Go at your own pace.

I did hcg 2x daily, gonal-f and menipur at night daily throughout the retrieval process. Lab work and ultrasounds every other day. Large hcg 10,000mcg injection IM 36hrs prior to retrieval. Another labdraw 12 hours after hcg injection to verify you did it. After retrieval they send you a message notifying how many eggs were retrieved. If they progress they notify you by portal if the embryos stop developing they call you and schedule an appt to "discuss why". If the do progress they have you wait at least 3 months. Then estradiol and progesterone injections prior to implant along with baby aspirin.

$9300 for retrieval implant and embryo testing the first time, 3 months later when we tried retrieval again price was $10300. Medications were extra. I paid close to $6000 on medications each retrieval. This was through the "discount" pharmacy. For each implant, paid $3000 for medications

The doctor was friendly at first and his office was comfortable. He also had beneficial handouts and props that he would use as examples but would talk too fast and when he would write down info for you to take, it was rushed and nearly impossible to read. I went back after testing for results and he was short and just said "these are the results, this is basically your only option, when do you want to start? Oh and did they talk to you about financing yet? " I felt like a number instead of a client.

If you don't expect compassion and details about your treatment until you say let's go for it, then this is probably a great clinic.

Through my insurance I was to pay co-pays for visits and testing. My cost in co-pays was approximately $250 and my husband's costs for testing and visits was approximately $200.

Did not discuss this with us.

Dr Magarelli is very personable, relatable, and has a cheery disposition and bedside manner. He explained things very quickly at times, and seemed eager to get through my questions - which I have a lot of! On the whole, we went with Dr Magarelli due to him as a person. Praying for round 1 success.

If you are highly analytical, Dr Magarelli may not be the person for you. However, if you are a “people person” and trusting he’s your guy!

I’m of advanced maternal age so Dr M. immediately put me on Estradiol 2mg twice per day. I was also prescribed hGh Injectables every night for about 10-days prior to IVF Injectables Gondal-F and Menopur.

$8,000 IVF + $3,000 PSG + 8,300 Medications = $19,300.

At the initial appointment, Dr. Mag seemed kind and knowledgeable. However, during this appointment he pushed pretty hard for IVF. At this point, we hadn't even been trying for a whole year. The next time I saw him was at my IUI insemination. After I had a negative HCG, the last time I saw him was when I had ovulated on my own before being able to have a trigger shot. The fact that he pushes IVF so hard and barely sees non IVF patients is a huge red flag. His condescending demeanor when I had concerns about a new diagnosis sent me running for good reason. From what I hear he is great at affordable IVF, but lackluster for any other patient.

The only way I would go here is if it is the only way you can afford IVF. You need to advocate for yourself hard. Don't be afraid to call the office or even show up to get the information you need. If you really want to talk to Dr. Mag, push for it and don't let him give a crap answer that lets him leave the room quicker.

For both cycles, I was on Letrozole for 5 days. The only IUI I had a trigger of novarel. The second I ovulated on my own. For both cycles, I had 3 follicle mature. Both resulted in a negative HCG.

I was lucky and only had to pay for the IUI procedure, labs, and semen analysis. The prices were good and well below market, except for labs. The labs should have been covered by insurance, but I had to pay out of pocket for them instead.

My husband and I only had a phone call consultation with Dr. Magarelli. He came across arrogant in tone. He made it seem like nothing I did in the past was correct/good enough. For example, when I told him I had taken Clomid for 6 months, his response was, “Well that’s alarming! No one prescribes that drug anymore. I haven’t used it in 10 years. And no one should EVER take it for 6 months, consecutively!” We hung up the phone and I cried in my husband’s arms with regret for taking Clomid.

Either voice record or write down in detail each and every conversation you have with anyone and everyone at that office. No one gives the same information - from the doctor himself to the secretary to the financial consultant to their website. Document, document, document.

He has a soft spot for the military. He is very interested in every patients case and wants to work towards that positive outcome. Dr. Magarelli is very understanding and is always available for a hug.

Listen to his ideas and yes, some cost extra money but they might heighten your chances of a positive outcome.

To know what he’s working with, he has a scope and HSG done. Then he started me on supplements like CoQ10, DHEA, vitamins B, C & D and Estrace to control my cycles. He then added 0.4ml Human Growth Hormone a week before the Stimulation Meds. The Stimulation meds were Menopur (4vials), Gonal F (150 units). My first appointment after starting the Stim Meds was day 5. Urine sample, blood draw and vag. Ultrasound to check in the eggs.

They tried to do all the monitoring in a certain time span in the mornings. Mine was always after 9am. It went smoothly.

I luckily had a referral for Dr. Magarelli, so I did not have to pay for in office visits or the scope/HSG procedure. Medications and Seman analysis were costs that we had to pay ourselves. Stim meds (plus Human Growth Hormone) Cody about $5,000.00, Seman analysis was $80.00

Dr. Magarelli recommends only one embryo transfer. Unless the women has had multiple miscarriages, then he might put in 2 embryos.

Paul magarelli is very kind and supportive. He always explained everything in a way that is easy to understand. He can be a little pushy when it comes to IVF/FET and doesn't seem to like when you question some procedure. But at the end he is understanding and respectful of the decisions you make. For example, I wanted to do TI with injections in between transfers and he completely understood my reasoning behind this decision. He is trustworthy and makes you feel comfortable and safe.

Don't feel afraid to ask questions. This is a very difficult and most of the time overwhelming journey but don't be afraid... And you are not alone :)

Gonal F: for Egg retrieval I think it was 75 units and then 150 units until I had enough mature eggs. I was on OHSS precautions because I had to many follicles. For TI with injections I was taking 150 units of Gonal F and they cancelled my cycle because there were to many mature eggs. Progesterone IM taken I believe a week before each transfer and supposed to take it until 12 weeks of pregnancy.

They usually work with my schedule and are great at having available dates for monitoring. And if it is an emergency, like when I was having a miscarriage they see me ASAP.

I believe it was $8500 for IVF, included one FET plus medication. Gonal F is expensive but we applied for compassionate Care for Military, so we paid like an extra $2500. And $1850 for each transfer after that.

I liked his approach when it comes to eSET... We transferred one the 1st time and 2 embryos the 2nd and 3rd time that we did FETs.

De. Mag is a very nice person & explained everything in detal, sometimes more then once when we went into a fog and forgot what he just said. He truly seems to care about what he does & wants to help as many people as he can.

Expect to have consultants with him but not have any appointments during your care with him, which is fine because his other 2 doctors are also great!

I had an HGH protocol for egg retrieval. Not sure why, maybe that I'm on allery meds. It involved extra HGH shots starting early. The rest: gonal F, menopur, hcg trigger, cetrotide, Lupron trigger

I don't live in the town that this clinic is located, still close enough to arrive from home within an hour. Yiu can only be seen from 7-9 am for monitoring. I have to always miss work and/or work from the car, meaning someone else had to drive me to the clinic, in order to get an appointment for monitoring (blood work has to be same day) its a good thing I have a pretty flexible work environment or I would never be able to have a job and work with this type of schedule.

Roughly - $6000.00 for IVF meds $9000.00 for one egg retrieval $250 for embryo CCS testing (up to 8 embryos) FET is $1850.00 plus meds (meds are $165 to $205) ERA $1750.00 plus meds

No comments.

Dr. Magarelli is a well educated and experienced physician. It shows when he explains what is happening and what will happen. Although seems to be a little high strung, we felt he was more than competent to complete our process. We have the upmost confidence in what he does.

Don't be afraid to ask questions, although what he is saying makes sense to him, it may not make sense to you. Come with questions wrote down and don't be afraid to ask away. He talks quick, but ask him to help you better understand.

$8900 - Cycle fee w/screening for PGS $3500 - Added fee for PGD screening for up to 8 embryos at one time $400 - Anesthesia $12,800 - Total Cycle Fee, plus medications

Dr. Magarelli is blunt and to the point of what is going on with each individual. I feel like I was rushed with my questions and didn't get the full answer. This is during his clinic time. During the retrieval and transfer he was much more compassionate and excited for you.

Do your research and be your own advocate.

I don't remember that medication protocol that I used. It was actually different each cycle as one of the medications was discontinued. I started off with Menopur (2 vials) and Gonal-F (150) with my last cycle. My eggs tend to grow slowly then all of a sudden catch up. I was up to either 4 or 5 bottles of Menopur by the end. Both retrievals I've had they got 24-26 eggs so I got OHSS and had to eat a ton of protein. The Menopur was an IM injection by the way. The first time around I used Lupron at first then Menopur and Braville. I got my baby boy out of that one:)

The best part about this clinic is the price. This last cycle we did was $6,300 not including medications but everything else even the transfer was included. It was an additional cost for PGS testing which we opted out of.

Dr. Magarelli actually suggested we use both embryos for transfer due to the poor quality. We did transfer two in both cycles.

We have not been through a whole cycle yet, but he seems to be knowledgeable in the field of infertility. He is confident and warm when talking to his patients. Even though he is a very busy man, he does take the time to say hi even though you’re only seeing the nurse that day. He answered every one of our questions and explained how his process worked. He also explained how he is able to make IVF affordable for his patients.

He is a very knowledgeable doctor so follow his lead on what he believes is best for your case.

I have not been through a full cycle yet with Dr. Mag, however, I am on short protocol to begin the cycle. My ovarian reserve is great, so there should be no issues getting a decent amount of eggs.

$9,300 for full cycle ER, and one transfer, PGS testing. This does not include medications.

He lets you decide. Dr. Mag only does Frozen Embryo Transfers though.

Dr. Magarelli is not the warmest, fuzziest best friend kind of Dr, however he was frank when you had the chance to talk to him. He did seem to care about being honest and helping you to acheive pregnancy. Dr. Magarelli was out of town for a little bit during our treatment. We also did not know he would not be doing our egg retrieval until the morning of. So things weren't communicated well in that regard. However, they did provide me with Dr Magarelli's cell phone if I ever had a question.

Stay on top of things, be your own advocate to make sure you are persistent on making sure your care gets priority and bring copies of all of your paperwork every visit as their system to digital only was not working well at all. Don't be intimidated by a Dr.'s personality and speak up if you need to-ask questions even if you feel stupid at the time.

Everything was mostly digitally on "the portal", but it did have it's problems. I know it was a new system for them so they were trying to work out the kinks, but at best it was really mainly used for email messages back and forth for lab results, increase meds, etc. I do feel like they did tailor my treatment to my body and not to a 10 day or 12 day, etc. They extended it as needed based on response or adjusted meds as needed. I was on Lupron, Menopur, Gonal F protocol and they increased meds as needed. They did strongly encourage acupuncture (his wife is an acupuncturist) and also encourage healthy diet and vitamin protocols, which was good.

It is HQA fertility center. High Quality Affordable Care. They reduce the cost to make it more affordable for anyone to have a baby. This is not the exact number but like $9200 or so and this include PGS testing, but not medication costs or any other MFI procedures.

There motto is one healthy baby, but they did encourage to transfer the only 2 PGS tested embryos we had. We did trust the medical advice they gave.

I feel as though I was very naive in the beginning of treatment and was too trusting. This doctor used a form to explain how everything worked during the consultation. It showed the normal course of stimulation and also gave some percentages of success if you did genetic testing and if you didn't. I don't feel that he explained that you may not even have embryos to try implantation with and in that case it doesn't even matter what the percentages are. He was friendly the first time we met him for the consultation and seemed to think IVF would work great for us since we only had MFI. I had him one time to do my transvaginal ultrasound since the lady who usually did it at my other appointments was on maternity leave. He seemed to do it differently and got way different information than the other lady did. After we got our genetic testing on our two embryos back he became cold and made it sound normal. We went in to go over what happened and what the next steps are. He was rude and didn't answer our questions. Of course we wanted to know what had happened and what we would do next. He just told us that percentage wise it was normal that we didn't get any normal embryos. He said we need to start again next month and that we wouldn't do anything different. Why would I do the same thing again with no changes and hope for a different outcome? There was no compassion and no answers. We felt defeated and he made us feel like failures.

I would advise a prospective patient to do all your research ahead of time and find out what will happen in the worst case scenario. What will he do different if treatment fails?

The protocol I was put on was Gonal F, Lupron and low dose HCG. I believe I was put on this protocol because we were only dealing with male factor and the doctor did not want to stimulate me too much. During the stims I only produced about 17 follicles and they weren't growing quick enough at one point. They increased the Gonal F at some point during the stims. I only ended up with 9 eggs retrieved and only 2 embryos in the end that were genetically abnormal.

Every little thing cost more. We paid for genetic testing and anesthesia. We paid for the IVF package and extra for all of the medications.

I'm not sure where to even begin.. From the beginning I didn't have a great gut feeling about Dr. Magarelli, but I decided to give him the benefit of the doubt and move forward as a patient of his (we were referred to him by Tricare, so our options were a bit limited). He put on a really good show at our first appointment, telling us that he would most certainly help us have "one healthy baby" - his motto. We felt hopeful that this would be the case. However, our first cycle ended with two abnormal embryos. Dr. Magarelli was less than compassionate when giving me this news, and even went as far as to get upset with me for not saying anything (I was in shock and very upset). Despite this happening, Dr. Magarelli assured us that changing my medication protocol would yield better results, so we moved forward with a second cycle. This cycle resulted in zero embryos. When Dr. Magarelli called to give me this news (I was expecting it by this time and had already started seeking a second opinion), he was joking about how he had a cold and didn't feel good.. as if that was appropriate. When I told him we'd be looking for another doctor his response was, "Sounds great, good luck!", and I never heard from him again.

Run in the other direction. Seriously. He might be the cheapest in town, but you get what you pay for.

My first IVF cycle began with birth control for a few weeks, followed by Lupron, and then Gonal-F & Low Dose HCG. I was on 10 units of Lupron, 10 units of Low Dose HCG, and 75 IU's of Gonal-F morning and night. I was on a very low dose due to the fact that I have no known issues, and responded very well to it. After my retrieval however, it was clear that I had hyper-stimulated even with the low doses. We retrieved 18 eggs, 10 mature, 5 fertilized, and 2 made it to freeze. Those 2 were chromosomally abnormal. For my second cycle I was again on birth control, followed by Lupron, and then Menopur. I was on 10 units of Lupron and started out at one vial of Menopur a day. After a few days and no response, my dose of Menopur was upped to 4 vials per day. I injected the Menopur intramuscularly, for a reason that I still don't know. This cycle we retrieved only 4 eggs, 2 mature, 2 fertilized, and 0 making it to freeze. Dr. Magarelli believes that I ovulated on my own prior to the retrieval.

Initally, Dr. Magarelli charged $7500 for IVF w/ ICSI, plus $400 for anesthesia, plus medications. They provided a $500 military discount, but required the payment in full before the start of the cycle. However, just before our first cycle began, they lowered the price to $4500, plus $400 for anesthesia, plus medications. At this time they didn't offer us the military discount. There was also a $1000 fee for the embryo biopsy each cycle.

Due to my age Dr. Magarelli highly recommended that we only transfer one embryo, however, we never made it to that phase with him.

Dr. Magarelli is a brilliant man, but does struggle to communicate at times. He can be rather Frank, which my husband liked but I struggled with. Overall, I was pleased with the care I was given, and I'm grateful to their team for helping us get pregnant.

Be familiar with the process and advocate for yourself if you don't think something is right. I feel my questioning helped keep things on track...my track.

I don't remember enough to speak knowledgeably. It was almost three years ago.

The cost was half of what we paid for our first round in another state. Even with travel and additional lab work (because we were out of state) we came out ahead.

He told us that he recommended transferring two, but I think he would have transferred one if that was our preference.

Magarelli was the friendliest RE we have come across. My husband and I were treated like dollar signs at every clinic we went to except Magarelli's, who went out of his way to make sure we felt comfortable and treated like we were visiting an old friend. We knew what to expect at every appointment, and he talked to us like we were equals. I love his sense of humor and ability to make us laugh even though we were beyond stressed and anxious. Every time I walked away from the clinic, I felt excited and positive.

Give him a chance. I do not understand why there are any negative reviews of him. We felt so taken care of and respected by him, and he made us feel so at ease. He explained everything to us in detail and why our protocol made sense, but I encourage all new patients of any RE to make sure you ask the right questions from the start (research important questions to ask your RE), and you won't leave with unrealistic expectations.

Magarelli decided a freeze all cycle with PGS would help us after 8 years of TTC with no results. With PGS, we were able to determine that we had a chromosome abnormality when my husbands sperm met my eggs, and this could not be tested by any other kind of genetics blood test. We did BCP, egg retrieval, sent off our embryos to be tested, and then did a transfer one month later, with a positive pregnancy test in the end.

Exactly as described. 8k for IVF, unlimited FET's, egg retrievel, egg transfer, ICSI, PGS testing for 8 embryos. About 4k for medications.

This office is run like a factory, it is not at all individualized. Not everyone has the same cycle or length of cycle, so if you do not fit into their schedule they will cancle your IVF cycle. You never see the doctor and the physicians assistant is incredibly rude and very difficult to deal with, especially when you are on significant hormones and she is nasty to you. I had to have my husband come to all my appointments on our second cycle after I started injections because I was tired of leaving in tears. They convinced me to buy medicine that I didn't need, and so many of my follicles ended up being over mature and useless, I went to 3 different physicians after leaving Dr Magerelli and they all told me that its very probable that they were not monitoring me the way they should have been. The number of eggs retrieved and the number that ended up fertilized was most likely the result of a very poor lab and uneducated staff/techs. The lab and procedure area do not seem like they are at all professional, I remember thinking "this can't be sanitary" quite a few times. I will agree with the last poster, they will sometimes tell you to continue with medicine, you aren't even on, they have no clue what is going on and it's scary to think they might be telling me the wrong thing. I missed a call once and they didn't specify which medication or what dose and didn't return my call till the following day at noon, I spent my evening guessing on what they could have meant, it's an unorganized disaster. Do yourself a favor, take out the loans, wait and save, do whatever you have to do, but avoid this place at all cost. Trust me, you will end up spending WAY more than they say it costs, its definatly a bait and switch. The price is a lie and it's a very dishonest office.

Find a different doctor...one who is honest about their success rates!

It cost nearly 12k, they make you feel like you NEED to do CCS, and if you don't your cycle will probably fail. So the $4500 price is absolutely not true at all, and is VERY deceptive

Dr. Magarelli deserves 5 stars!! If his staff could come up with a management system that matches his enthusiasm for fertility treatment they would be unstoppable!! Being in the office is amazing, but when you are not face to face they fall short, OFTEN!

Be patient, pun intended!

I am too early in IVF, but he believes it’s relatively standard for all woman with a few slight tweaks.

$11000 for IVF WITH ICSI AND CCS TESTING AND 2 transfers

He will allow you to decide, not over 2 and recommends CCS testing.

He would be positive almost to a fault. He comes across as a salesman in some ways, but I do believe he does care. He will breeze over things that can be very important, but spend a lot of time on things that don't apply to the situation at hand. He will take the time to answer questions if asked.

Make a list of detailed questions if you want the details.

I was put on high doses of hormones due to DOR, but I didn't feel like I understood my protocol and it was not explained to me well.

$6400.00 for IVF and $4000.00 for medication.

He is a very straight forward doctor and some might interpret him as rude but he's just honest. He told me my chances of conceiving at the beginning of the process and didn't sugar coat anything. He did not do any of my monitoring scans except the last one but I felt like I could talk to him if needed, as he was always in the office. He did my egg retrieval but the other doctor he works with did my transfer, though he was in the room. I think he's a great doctor who has a lot of knowledge and experience to offer.

Have tough skin

The cycle itself was $5900 I believe and medications were about another $3000

We did not have our embryos genetically tested. Because of that he agreed to let us transfer two.

A lot of people say that he pushes IVF and most of the time there is something "wrong" with the husband's sperm. I didn't feel like he pushed anything. But at the same time, I did feel like IVF was the area he was most knowledgeable in. He won't talk money with you, if you have questions about finances or how to pay he will direct you to his other staff. Mostly my experience has been pleasant.

His bedside manner isn't the greatest. He does have a "know-it" all attitude, but don't take it personally. Wouldn't you want a doctor who is confident in what he does?

8,900 for IVF with ICIS and genetic testing, $400 for anesthesia, meds vary by age

We were told that we would have an opinion on how many were transferred. But his goal is One Happy Healthy Baby.

He knows how to explain all procedures very well so we understand why he’s doing what and how. His bedside manner can be a little cold but knowing him now it’s something I’m used to. I like that he will answer all questions even if he has answered them before.

Just be patient with the clinic and go in with an open mind. He has a big personality but he’s good at what he does.

It costs 11,000 for IVF with genetic testing plus medications.