Richard Marrs

He is our second REI doctor after we exhausted options with our first. He had read through all of our charts and history prior to our first consultation, which means he actually understood where we were with our history. His sense of caring, warmth, and expertise is simply wonderful. His experience and reputation in the field are unparalleled, so we were quite shocked that he still spent so much time with us as if we were his only patients. He analyzed our case and charts and presented his opinion about the reason for our recurrent pregnancy loss. Other doctors had thought it was a bicornuate uterus and other issues, but Dr. Marrs believed it was another issue that could be solved surgically. He had his colleague Dr. March perform the surgery with him in attendance.

[See previous response] After having surgery to remove the uterine septum, we are now planning on another FET.

Dr. Marrs was very candid about our situation and experience. He didn't sugar coat anything, which I TOTALLY appreciated. This wasn't our first experience with a fertility doctor so we wanted to know the good, the bad and the ugly. He was very caring and knowledgeable, but honest and to the point. For me, it was the perfect combination. In our consultation he explained everything fully, in detail, like we were intelligent human beings. He didn't talk down to us, or skip things, thinking we wouldn't understand. And we NEVER felt like there was a stupid question. He answered everything we asked without making us feel like we were bothering or annoying him. We felt like he wanted us to be up to date and know exactly what was going on.

Don't be afraid to ask questions!! Anything you're wondering, anything you've read or heard about. Just ask. He will take the time to explain. And if the explanation isn't clear to you, please ask again. Make sure you are 100% comfortable with everything going on and you know why he's doing what he's doing. For me, information is power and stress reducing.

We were doing an IVF cycle. I had to go on the pill for a week to help clear the corpus luteum from one ovary and suppress the follicles in the other. After a week they were synced so we started Clomid for 5 days, with Follistim and Menopur injectables every other day. After the 5 days, we did the injectables every day and added Ganirelix toward the end. Because of my age, we did lower dose meds and it was amazing! I felt so much better and my follicles stayed synced the whole time. We got a great number of mature eggs - twice as many as my cycles at a different clinic, and we are still waiting the results of genetic testing.

I've been to one other clinic, and these costs were pretty much in line with what we paid there - actually a little less overall.

We aren't to that phase yet, but if I remember correctly, our nurse during our initial meeting mentioned that they usually prefer to transfer a single embryo. But it is dependent on many factors that we would discuss at a later date.

I had two failed transfers so I decided to go Dr Marrs for a third opinion. His office requested I have all of my paperwork sent before our consultation,so he could have an opinion on our situation. This was the first time a doctor had made the effort to do so, which in itself was encouraging. When we met with him he had actually read all my records and went over what he believed was the issue. It’s was so refreshing. He did not blame my age or egg quality but rather told me about research they are doing about timing of transfer. So we tried the mock transfer twice and took biopsies and found out my body was very sensitive to progesterone and I needed minimal amounts of the drug, not more as other doctors had led me to believe . I am now pregnant thanks to Dr Marrs’ persistence. He is so smart, precise, compassionate and cautious. All qualities every fertility doctor should posses. He is not a cookie cutter doctor. He takes his time to evaluate his patients and find a bespoke solution that works for them. He doesn’t view his practice as a baby factory, but rather as an artisan workshop. I cant say enough wonderful things about him. We owe Dr Marrs everything. If you are struggling to conceive look no further than Dr Marrs. He is absolutely the very best.

He should be the very first doctor you meet once you know you are going to need help conceiving. It’s the biggest regret that I have. There is no other doctor that will care more about helping you. He is brilliant and compassionate. A very rare combo in this field.

For my transfer we started with BC, then started Lupron injections. Then we used estrogen patches and progesterone inserts before my transfer. The progesterone inserts were from MDRpharmacy. It’s a version that they compound themselves. We started with 50mg and increased to 200mg 4 times a day. After my positive pregnancy we add progesterone injections as well. It’s also compounded at MDR. It’s a sesame oil base so not as thick as the once you get at regular pharmacy. I also took medrol 5 days before transfer and prednisone 10mg after transfer till week 10.

$10-15k

I would do single because if they have not figured out right medication for you then you loss two embryos versus one.

Dr Marrs is very business like and cuts to the chase without any fluff. If that’s what you like then he is perfect for you. There’s very little hand holding when it comes to him. He can come across as a little cold but when it comes down to getting the job done he definitely delivers.

Make sure you ask all the questions you have when you are there and always ask for potential risks or side effects of anything you are doing.

We did 4 IUI’s with no success. The 3rd and 4th were with clomid. The 4th he increased my clomid dose and this caused a cyst. I was never told about this potential risk and because this cyst developed I wasn’t able to move onto IVF for 3 more cycles. This was a huge blow to me and wish I would have known the risk ahead of time. We then moved into IVF. I don’t recall all of the meds we did but it was normal protocol. After the transfer I did progesterone suppositories and got a positive pregnancy result. My daughter was born in March 2017.

I don’t recall exact numbers but our IVF was roughly $18,000. The IUI were around $3000 each

Dr Marrs suggested transferring only one embryo for my first transfer. I agreed since we didn’t want multiples and he was right. It worked on the first transfer.

He is one of the most caring and compassionate doctors I've seen - fertility or otherwise. He's super professional, but you can tell he really cares. He pays attention and reviews your file before every visit. He's a very reassuring presence in what is a hard and stressful time.

Trust that you are in good hands.

My protocol was dictated by factors outside of his control, so my experience would not be typical of any other patients'.

Richard Marrs is an amazing doctor. He is kind and empathic, but also very straightforward. He's very clear about what he sees about what he thinks the best course of action is. He is personable but not emotional, and he is very kind when you are emotional! It's his job to get you pregnant and he exudes calmness, confidence and experience. He's truly the best. He's always on time and saw me every visit that I was doing something other than simply getting blood. He was always prepared. In our first consultation with him, he had gone through the hundreds of pages of my medical records and was prepared with notes to discuss all potential issues he saw.

Come with any questions you have.

One round of IUI without any drugs, because all my tests were good and fertility issues seemed to be around timing. Two rounds of IUI with Clomid and Estradiol + HCG shots 36 hours before insemination. Basically, to give it a boost and super charge the experience. Second round of IUI with Clomid and Estradiol led to pregnancy.

Approximately $1800 per cycle of IUI. Very straightforward billing - $235/ultrasound. $120 for bloodtests. Etc. You pay each time you leave. They don't take insurance but they provide you will all the appropriate documentation.

Dr. Marrs was methodical and scientific in his approach. He is warm and compassionate and kind. He is extremely knowledgeable and capable. I had a great deal of trust in him both because of his approach and his rapport.

If you don't like the nurse you're assigned to, ask to switch. Ask for tips for common procedures (like egg retrievals etc) so you can maximize your experience.

He did one IUI and two transfers. In between the two transfers he tested for uterine receptivity and caught that I was in a small percentage of women who need to time their transfers differently which made a huge difference and led to us being successful.

It was an expensive process and they don't take insurance.

Dr Marrs is both incredibly calming and smart. It's always helpful when he reminds you he invented a procedure he is trying. When it was time to move from IUI to IVF, he told us. He was honest and helpful.

Make sure you see him. Ask him for his email.

We did our first IUI with Clomid, trigger, progesterone and estrogen. He monitored progress very closely. The second IUI he cut back on Clomid because I respond very well. Our first IVF we did gonadatropins - pretty standard. We also opted to do PGS so we knew we were transfering good blastocysts.

The costs are clear. You can ask the billing department for the list of costs. The only time it isn't clear is when they don't include everything involved in your treatment when you ask a cost.

Dr. Marrs is a great doctor. He is very smart and know a lot about infertility. He has done many studies and seen many difficult cases. I trust him with my care and I hope we get lucky. He is very caring and answers all of my questions. He knows a lot about which supplements to add to my protocol and which ones to not waste money on.

Write all your questions down before your appointment. Ask him everything you want to know.

IUIs were done 42 hours after the trigger shot. First IVF cycles used injectables and Menupur.

Expensive, but in line with other Fertility clinics in the area

They will not implant more than 2 embryos

I could not have been happier with Dr. Marrs. He was thorough; he explained my treatment in a very accessible way. He calmed my fears and assured me along the way. He was kind and caring before, during and after surgical procedures.

Stay the course, don't lose faith, and follow Dr. Marrs' direction.

Labs, ultrasounds, procedures and prescriptions.

Dr. Marrs is amazing at what he does! He is honest about your options and expected outcome, he knows that every patient is spending their hard earned money for his services and treats them with respect and compassion.

Go with a million questions, do your research beforehand, know exactly what you expect from a cycle and express it and go into the process with a positive attitude!