Robert Greene

3IUI and one IVF was all bad experiences at Conception. It is more of a business than a medical centre. For all my IUI rounds, the estimated dates to conduct the final step were all wrong. After doing IUI for 3 times and having the pattern of my ovulation, still they were wrong in their calculation for ovulation dates. You need to double check their dates and discuss it with them. Lots of work and stress for you! The sensitive IVF treatment we received was not tailored to our specific situation. The procedure we received was a blind and general one. When we discuss this matter with Dr Greene, he said they only customize the treatment for the second round of IVF! He automatically assumes you will do minimum of 2 IVF with them! He retrieved the eggs when it was late, and instead of taking responsibility, he mentioned that if the eggs were good, they would properly be fertilized even if they are were post-mature. He then tried to push us to use donor eggs. Though another center, successfully developed 2 embryos with our own eggs and sperms. This center is a business department. Everyone is nice and responsive before your big IVF payment. But once you paid for IVF, you can hardly talk to your nurse or doctor. I have not seen doctor Greene or my nurse AT ALL during the whole IVF process, never talk to doctor even on phone, and my nurse maximum talked 1-2 minutes on phone. Horrible experience! 2 days before retrieval doctor Greene sent an email in which he literary asked me to make decision with my nurse about the date of egg retrieval, and he forced me to make decision without giving me enough information. Be careful, Conception is cheaper option compare to other clinics, but you get what you pay for! More importantly, they are not part of SART or reporting to such professional bodies, so in case of the mistakes they commit along the way, you can not report them to professional bodies. See other clinics before commit to Conception! it totally do worth it.

Dr. Greene has been very open about his and his wife struggles and the IVF journey they had to take. He is a big believer of research from all over the world and open minded to suggestions. He tailors the treatment to you, no one treatment fits all. i had many setbacks due to my DOR and my age but he pushed me to believe that everything is possible and he wont give up on me.

He has a direct line to him (emails are the best and he always response) use it, ask all the questions in world and listen to him.

IUI was a strait forward cycle, clomid with prenatal and estrogen/progeterone pills and ovidrel trigger shot. My FET: Lupron, Estrogen patches, PIO, Estrace, Synthroid (to control thyroids due to meds), Metformin (to control sugar levels and proven to help implantation) Prenatal with extra vit D (I have vit D deficiency), and pregnyl trigger shot. Although i had a miscarriage is was due to embryo not developing not me so dr. Greene believes next cycle will be the same.

FET cycle $9330 and meds costs around $1300, Miscellaneous $500, Embryo adoptions $400 for storage for a year (legal cost are not with the clinic)

He recommends at my age (45) to transfer 1

Dr. Greene is extremely knowledgeable about infertility treatments. He was very honest and open when discussing what steps need to be taken. He was proactive and wanted the big picture first. He loads of test and procedures on both my husband and I. When reviewing test results he broke it down so it was easily understood. He was honest and hopeful. When we had a missed miscarriage and had to have a review appointment he was a bit too blunt and seemed a bit aggravated. My husband chocked it up to just being upset about the loss too. He referred to our loss as a failed pregnancy. He did give us a plan and what we needed to do before getting the green light to try again. He was very kind when we had to have a surgery done and did not hesitate to let us try again after that. We did have to have another meeting with him after two cycles of no response. That appointment was had as he really pushed IVF, which we did not feel ready for. He did refer to our loss again as a failed attempt. Which still hurt for me and the chemical pregnancy was not even recognized. He was kind enough to let us take as much time as we need to figure out what we wanted to do. He did let us try another IUI while we were still deciding. He is very proactive when it comes to care but can be very blunt during sensitive times.

You are in good hands. He will proactively order all the testing so he has a better understanding of you when you come back to review. He is diligent, honest and can be blunt.

For our first IUI We started with the lowest does of letrozole at the CD12 scan there was no follicle growth so instead of wasting the cycle he offered we stair step. So he upped my doseage to 75mg of letrozole. At the new CD12 scan I had responded and we proceeded to trigger that night for a CD14 IUI. He prescribed progesterone suppositories and order me to take them two days after the IUI. After our MMC he ordered for weekly blood draws until beta was zero. Once zero he ordered an SIS. After that procedure based on the results he ordered a hysteroscopy which found scar tissue and a uterine polyp which he removed. He ordered 3 weeks of healing. He kept the same letrozole dose for the next 3 IUIs. He cancelled two cycles due to poor response but did offer extra injectables that I declined.

Each ultrasound was $185, each IUI was $402, each meeting appointment was $225, bloodwork varied between $25 for the Ventipuncture to $200 for blood test, sperm analysis was $75, HSG was $250, SIS was $200. Hysterscopy was $950

Dr Greene always made sure we understood the course of treatment and took into consideration our vision of our complete family, not just focused on the first baby (which has yet to happen). Dr. Greene has been patient and easy to contact. When I had a miscarriage, he reached out personally to schedule our follow up and provided next steps.

Don’t be afraid to ask questions!

based on my diagnoses and our MIF he recommended 3 (max) IUI’s and then IVF. We have done 2 IUI’s so far and have had 1 miscarriage. After additional testing Dr. Greene is suggesting IVF based on my husband and my results.

Medicated IUI 1,500 Medicated cycle 1,000 IVF 18,000-25,000

He is on top of the most recent research which is important to me. He has a personal email that he told us we can email him at any time. He even has a blog although does not update it frequently. I have only seen him twice but he is very friendly and intelligent. He seems very passionate about his career and I feel like I can absolutely trust him.

Come prepared with a list of questions.

He looks at bloodwork and other tests before deciding anything. He looks at HSG, if you are able to ovulate normally, AMH, and as well as male factor. He doesn't jump into performing a biopsy to diagnose endometriosis and recommends pine bark extract which has one study stating it can help. He recommends removal of polyps and performs the surgery himself. His nurses perform the IUI procedure. There has been a lot of waiting which is frustrating but it seems to me that he follows protocols by the book.

My IUI costs are about $400-500 a month plus a $600 COBRA payment. Not sure what IVF will be.

He strongly recommends single embryo transplant which is something I have done research on and agree with.

I didn't see Dr. Greene as much as I would have liked, but the consultations and treatment plan meetings were very useful. He never seemed rush and always took the time to explain things in detail and answer all of my questions. I always walked away feeling very armed with knowledge about what was next. He was also very responsive to email, but I found his in person responses most thorough. I most appreciated his EXTREMELY thorough understanding of the science and literature behind his treatment plans. He was very up to date on the most recent studies and always had something new to implement to improve his course of action. The one thing I would say that was frustrating about my experience was that Dr. Greene was extremely optimistic to the point where I felt like a freak case/failure when I didn't fall into the great success rates of the clinic. For example, he asked us how many children we would like to have (2-3) and he told us that he was very confident we would have at least 2 babies from one IVF cycle and each embryo transfer was about an 80% success rate. So, when I had 2 PGS tested embryos from round 1 fail, I felt like something was very wrong with me because I wasn't as successful as he made me feel like I would or should be be. On the other hand, in the midst of the treatment, his optimism was helpful and I always left his office excited and enthusiastic about the plan, so the optimism wasn't all bad!

Know that even if Dr. Greene is very optimistic about the success rates of the clinic, failure does happen. Prepare your questions ahead of time to make sure you are able to remember what to ask in the limited meeting times.

2 IUIs with letrazole- he used letrazole instead of clomid because he found better success rates for PCOS patients. (I had 3 failed clomid cycles at CCRM prior to coming to Conceptions). 1st IVF: antagonist protocol with menopur, gonalF, cetrotide, etc. 21 eggs resulting in 2PGS normal embryos. FET 1: hormone replacement cycle (PIO, estrodial pills and patches, lupron). Intralipid infusion, resulted in chemical pregnancy FET2: hormone replacement cycle as above with human growth hormone (omnitrope) added, resulted in negative 2nd IVF: antagonist, similar to first with increased doses of menopur and gonal F, added human growth hormone, 19 eggs retrieved, resulted in 5 PGS normal embryos! ERA biopsy cycle with protocol from FET1, result was pre-receptive Waiting for FET3

IUIs: <$1000 per cycle if I remember correctly IVF 1 including 1 FET and PGS testing of all embryos: about $19,500 + $5000+ medications, additional $ for anesthesia, doppler ultrasound, hysteroscopy FET2: $5100 + about $2500 in medications IVF2 including 1 FET: about $16,000 + $8000+ medications + $2200 PGS embryo testing and ERA biopsy

Dr. Greene was adamant about single embryo transfer and he explained the risk of multiple pregnancies. He also reiterated the clinic's high success rates with single embryo transfers and said the large majority of patients use PGS testing. He did say if we really wanted to have twins, then we could talk and consider transferring 2.

Dr. Greene is energetic, knowledgeable and supportive. He tells silly jokes and creates a more relaxed space even when there is tension. I appreciated that he responds directly to emails. Unfortunately after two frozen embryo transfers, we have not received the outcome we were hoping for under our care with Dr. Greene. I do not believe that. Dr. Greene is at fault for either loses.

Come with all of your questions!

Before each transfer I had pylops removed by Dr. Greene. Frozen Embryo transfers with Lupron, HCG, estrodial, progesterone in oil. In my most recent FET I was put on Metformin.

We paid about $4000 for each Frozen Embryo Transfer. We separately paid for acupuncture.

If you were young and have a very straightforward case, then he might be able to help you. If yours is more complicated like mine was, go to CCRM or a mini IVF clinic. After two failed cycles where I had 25% of my eggs mature on both cycles at retrieval, I never had any embryos make it to freeze.Dr. Greene told me that at 38 with secondary infertility my eggs were “dysmature” and suggested donor eggs. We were devastated. A friend suggested CCRM. At 39, a year later, CCRM managed to get 100% of my eggs mature at retrieval by letting me follicles go larger than what Dr. Greene considers ideal and changing my protocol. We had success on our first transfer with CCRM and have three more embryos in the freezer.

Realize he has a cookie cutter approach. If you don’t fit it, they will blame your eggs. If you are a complex case or need to go outside the box, go elsewhere. We have trouble making blastocyst, and asked for a three day transfer. Dr. Green said no and told me that if my embryos wouldn’t make it in the lab, they would not make it in my uterus. My next clinic made blastocysts but then actually suggested freezing at day three for my final cycle. I’m currently pregnant with a day three embryo.

We did antagonist twice. If he had let me stim a day longer each time, we would have had more than 3 mature eggs between 2 cycles. At CCRM I had 19 mature eggs from 3 cycles. And I was a year older. Switching to microdose lupron flare at my next clinic was key for my body to produce lots of mature eggs.

We spent $20k+ for the first retrieval and about $10k on the second retrieval plus $20k total on meds.

He is very knowledgeable and acts like he truly cares. But the big weakness is. In order to get you to your goal he pushes IVF which is 30k through his practice. Spend money is his main push. No alternatives or different solutions. Just push that high dollar procedure. Even though a IUI worked just as well.

Just be prepared to spend money if your insurance doesn't cover fertility. Conceptions are not cheap.

He started off by ordering test to find out what we need to do. Analysis of my sperm and wife's area. By doing test, ultra sounds and scans, blood work. Looking for how many eggs and follicle health and size. Monitors the process from before IUI and after and during pregnancy. Then a year of half he starred with the IUI once my wife's tubes were not blocked as initially found in test. Unblocked by natural supplements that were not used by Dr Greene. Finally got pregnant on IUI 2 lost baby 7 weeks in. Dr Greene pushed for IVF from there.

Test and blood worked varied by insurance coverage. But alot of it wasn't covered by insurance so in rough 10k just on blood work and scans. IUI's cost 700 each time. Ovarian drilling polyp removal and hospital times was 15k. My wife was told weight loss would help and recommended gastric bypass. Which wasn't fertility but recommended by the Dr. Was additional 20k since alot of it wasn't covered by insurance. Fertility right around 30k not including IVF. Additional work recommended added another 25k totaling cost 55k.

We were and continue to be in the unexplained category. We asked about all the diagnostic tests we would need to do, but he didn't recommend some because if there was an issue, he would just recommend IVF anyway. However, we would prefer to have the entire workup done first to make that decision. Thus, we didn't get a full diagnostic workup before we did our first IUI and then almost started IVF at this clinic. Luckily, before starting IVF, we moved to a different clinic, who did a full workup which showed a couple minor issues. I really feel you need the entire picture before you waste your time and money on IUI or IVF, but that wasn't done here. I felt pressure to go the IVF route from the very first meeting, although I am young and have no major hurdles we are aware of yet.

Ask for all possible diagnostics tests to be done before doing any procedures. I had two polyps that had to be removed, but that was found by my second doctor before my second IUI. If there is a possibility that these issues are lingering, why spend money and time on treatments without having a full picture of what could be an issue?

We did one IUI under Dr. Greene with letrozole. It did not yield a positive pregnancy test.

Doctor Greene was amazing. He was always willing to cover treatment options and plans in as much detail as we wanted. He also provided material on extra supplements and research that has been show to help with fertility. He never had me do something in my treatment without providing an explanation about why I was doing it.

Come prepared with questions and feel free to ask them.

I had 2 rounds of treatment, after the first round we discovered an egg health issue that we did not know about previous to having embryos PGS tested. The first round did not include any extra medications, They retrieved 18 eggs, 13 were mature, 12 were fertilized. Only 3 made it to day 5 (previously unknown egg quality issue) and 3 were sent for PGS testing, 1 was deemed "normal" Grade AB. The second round of IVF protocol was similar with the addition of Omnitrope. They retrieved 13 eggs, 9 were mature, 8 were fertilized, 4 made it to day 5 and were frozen and sent for PGS testing, 3 came back "normal".

We have insurance coverage and paid around $20,000 for all testing and procedures.

The clinic recommends eSET because of all of the testing done on the embryo and uterus before hand the live birth rate is very high and the goal is for a healthy baby and a single embryo transfer has a higher chance of a healthy live birth. But they have it as an open topic of discussion.

Dr Greene was very familiar with my case right when I walked in- I could tell he had read it before I arrived and that was reassuring. He asked a lot of questions and gave us several options and helped us understand everything thoroughly before we parted. We never felt rushed and he answered any questions that arose after our meeting very promptly

Ask a lot of questions- he explains things well but he also doesn't mind answering anything you think of

we used 50 mg of Clomid for the first 4 IUIs and an ovulation predictor kit. For our last IUI we used a trigger shot and ultrasound to be more accurate. I was also taking herbal supplements that he recommended and prenatals to help egg health

IUIs and testing were less expensive than my own doctors- IUIs were $350ish. IVF all in would be 25-35k per round

He definitely leaned towards eSET because of their success rates and explained that unless we desperately wanted twins he would discourage multiple embryo transfers

Dr. Greene is very knowledgable and kind. He clearly explained our options, and once we chose an option, he delved into the details of the chosen path. He is very easy to contact via email and responds quickly. One weakness I experienced was a lack of detail when it came to lab and test results.

Come ready with questions. Sometimes visits fly by, and you realized you left with more questions than answers. He is more than willing to answer questions, however!

With a less-than-cookie-cutter PCOS diagnosis, Dr. Green suggested IUI as intervention for our infertility. He prescribed Letrozole at 50mg for days 3-7, an hcg shot after a follicle was confirmed 18mm or larger, and progesterone taken twice a day after the IUI. The Letrozole was used to ensure ovulation, and I did successfully ovulate, a little earlier every month over 3 months of IUI treatment. My progesterone was tested after one week of use and Dr. Greene was satisfied with the levels. While the circumstances seemed favorable, the IUI was never successful.

Each IUI, including medication, ultrasounds, and the procedure, was around $1000.

Dr Greene was up front with options, but I have only seen him twice in the 2 years I’ve been treated at this facility. Once for intake consultation and once for my HSG test. I would rather see the actual Dr more.

Ask for everything you will be charged forup front. Ask about exactly what steps will be taken for treatment as far as how many IUIs will be done unsuccessfully before they will push IVF.

Dr Greene had nothing to do with my cycles, I only had contact with nurses for this.

To calculate my total cost so far would probably scare me. Each IUI treatment including ultrasounds and day 3 bloodwork got cash pay is about $1200. Other bloodwork I’ve been required to do about once a year range from $100-$200. The HSG test cost about $500.

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dr GReene is great he always answers all my questions and makes sure I understand every process he also gives additional information regarding fertility and how to increase egg quality ect. He is very compassionate and friendly

Do your research and ask questions!

I am a very complex case so there were a lot of steps we had to go through in order for me to even consider IVF/IUI. I had a pregnancy with conjoined twins wich was terminated at 5.5 months complications from that surgery caused uterine perforation scraping of my colon abscess in my rectum and bone fragment was left in my uterus. I had severe abrehsiohns and scar tissue that required me to have one of my tubes removed I have had multiple laparoscopic surgeries as well as 2 HSG surgeries.

Fortunately I had coverage through my health insurance for IUI so my cost for the cycle was $350 however I did pay $225 for my office visit and $67 for progesterone and $104.89 for trigger injection plus $12 for vitamin D

We have actually begun the process of seeking IVF consultation twice now. We first met with Dr. Greene a couple of years ago and life happened, so we discontinued our appointments at that time. Fast forward two years and my wife and I are in a place where we were ready to pursue this as an option and remembered Dr. Greene and his team at Conceptions in Lafayette, CO. They did a great job of explaining the process, discussing possible issues, and making us feel like this was a common problem for couples to have. My wife and I are a bit younger than some others who are seeking this treatment – we are both in our early 30s – but they have been great at explaining to us some of the reasons, causes, and solutions to the issue we have had. They have been very accommodating to our schedule, have followed up with us regarding appointments and testing as well as discussing payment options – this is an expensive process! After meeting Dr. Greene, we are excited to begin the process of working with Conceptions to conceive ourselves! I would highly recommend Conceptions in Lafayette, CO, Dr. Greene and his team of knowledgeable staff and nurses.

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As stated above, we haven't officially start the treatment yet.

I don't remember. But I think it is lower than average

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Dr Greene was able to help us start our family he was caring and positive through it all. We had a rough road and he made sure to explain everything in depth not leaving out anything. The more we knew about our situation we were able to get around obstacles. Dr Greene helped gives us the hope we needed to do this!

Email is a great way to communicate, also the blogs on the site by Dr. Greene are helpful.

We went through many hormones for egg retrieval as well as for our transfer. Metformin- to help egg quality. CoQ10, resveratrol, açaí berry- supplements Menopur injections Gonal F injections Cetrotide injections Novarel injections Lupron trigger shot All of these medications were successful and did what they needed to

We were extremely lucky our health insurance actually helped pay for our treatment. They clinic was very open with costs and the financial options that we have.

With the success rate I believe the single transfer is the best course of treatment

Dr. Greene and O’Shaunessy were copassionate, smart, energetic, positive, hopeful and kind. They refused to do anything that wasn’t the highest and best care. They monitored things like thyroid and vitemin d much closer than other people I knew. They were so careful not to allow me to get OHSS, even though it was tempting to continue stimulation meds.

Take notes, ask questions, advocate for yourself, be patient and have hope. Be ready for a big time commitment. Go first thing in the morning if you can for ultrasounds and blood work.

I did famera and timed intercourse. Gonal-F, Manipur, Lipton and ovadrel for retrieval. Lupron , vitamin d, baby aspirin, progesterone, Estrace and estrogen patches for transfer. I did a freeze all retrieval then icsi with PGS testing and frozen embryo transfer.

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They went the safest route with single embryo because they were genetically tested.

Dr. Greene was the second doctor I saw at Conceptions. The first left the practice before my first donor egg cycle. I immediately felt comfortable in his care. He was persistent in his optimism for us, and honest about our options.

He is absolutely great.

Our first attempt, we used frozen donor eggs from an egg bank. This was a direction that our first doctor recommended. We only got one embryo from that cycle and it failed to implant. We decided to try again, and Dr. Greene advised us to do a fresh cycle, plus CCS screening. From that donor we ended up with 7 tested embryos. A chemical pregnancy resulted from the first transfer. For the second, we added an endometrial scratch and intralipid therapy. That transfer took, and I'm currently pregnant.

In total, including the cost of donor eggs (one frozen cycle and one fresh) we spent around $75,000.

Dr. Greene really preferred transferring one embryo. I think had I really wanted to transfer two he would have, but they really prefer one.

He always has a smile for his patients. He's great at putting you at ease. He and his wife have been through IVF so he knows what the process is like as a patient and provider. He's trained in some practices not every else is, which was great when we hit a specific road block with a cyst, and he had no problem aspirating it to save our cycle. I saw him at all the big visits, knew he looked over my chart and test results to determine next day's protocol, and he encouraged us to email him directly if we had questions.

Ask all the questions you can and he will give you all the answers he can. And if he can't provide an answer, he will find it. I never felt like he talked down to me with all my questions.

I had two cancelled retrieval cycles before I saw Dr. Greene. One was cancelled due to a cyst and another because I over-stimmed and ovulated. Dr. Green assured me that should either of these happen again he would be able to help, especially with a cyst since he was familiar with aspirating them (which did indeed happen - he aspirated my ovarian cyst in a quick outpatient procedure and saved my third retrieval cycle). For my successful retrieval with Dr. Greene, I was on NuvaRing, Cetrotide, Gonal F, Lupron, Pregnyl, and Menopur. We had 19 eggs, 16 were mature, 12 fertilized, 7 made it to day 5, and 6 passed PGS testing as normal. For the transfer phase, I was on Pregnyl, progesterone in oil, Estrace, Vivelle, and Lupron. The first transfer was a success and I'm now pregnant, due in November 2017.

He believed, and I think their practice follows this belief, that if you are under 35 and healthy they will only transfer one embryo. Maybe two if there is an extenuating circumstance. They only routinely discuss transferring two if you are over 35 or have a history of recurrent miscarriages. I don't think the every transfer more than two.

Dr. Greene was beyond amazing. He listened to our wants/needs/worries. And gave us facts as to why this happened or what causes these things to happen. We had a mix up with moving to our OB and Dr. Greene helped us even though we were no longer in his care. He truly seemed to care about our family. I met with another dr briefly and he was so cold. Dr. Greene knew us and was always happy to see me and my husband! Simply amazing

Be open and ask ANY question you may have! Dr. Greene knows his stuff and always backed up his thoughts with studies, the good or the bad!

Unfortunately I don’t recall all the meds or dosages. We did Intralipids before my cycle due to previous history. When I scheduled, the staff said it was necessary, as it’s rarely done. However Dr. Greene insisted and the staff was very helpful to get me an appointment!

For me monitoring was always convenient! I was never waiting for others to finish. And was seen within 5 mins of coming to the office. Never any discomfort and great communication from the tech!

Total we spent around $12,000 I believe with the clinic (insurance helped)

Dr. Greene felt it was safest for me to transfer 1 embryo. And better odds of the embryo sticking! He said if we REALLY wants twins he would be ok to transfer 2, but strongly felt confident in 1! And we trusted everything he said!

I would recommend Dr Greene (and have) to anyone seeking help with infertility. I feel like we were given the best protocol to give us the best chance of having a life birth. Without Dr Greene and his team we would not have our baby!

Make a list of questions before consult, he is very knowledgable!

For egg retrieval I was given a mild dose of all the medications and I was very reactive to them. Dr Greene did not allow me to produce too many eggs and I was closely monitored for OHSS. I only had one normal PGS embryo and was given intralipids to help the chances of implantation.

I was able to stop by the clinic in the mornings before work. They were easy and quick.

IVF and one FET were a total cost of $18,000. Medications ran from $4,000 for FET to $6,000 for IVF.

Single embryo transfer was our only option due to only one embryo testing PGS normal.

Dr. Greene explains everything thoroughly, takes and answers questions seriously, and replies to emails with information and kindness. He always has encouraging words for us as we leave each appointment.

Dr. Greene is very knowledgeable, so come with all of your questions, whether you think they might be silly or not! He is honest and direct but also encouraging and optimistic.

I have mild/moderate endo and potentially some male-factor in my partner. IUI was presented as a reasonable option for us. We have done 2 rounds with 5 mg of letrozole. The first was unsuccessful, and we’re waiting to find out about the second one.

We had an initial $450 fee for the consultation and testing, then each IUI cycle was $700 (our insurance paid the other half). We also had to pay for medication and injections.

We have not done IVF.