Ruth Lathi

Dr. Lathi has been reliable and has given us the facts. Unfortunately, she also led us to believe we did not have any major issues nor was there urgency for us to proceed with aggressive treatment. Ultimately she left it up to us. I do think the minimized our issues and did not adjust treatment to fit our unique issues. I like that she is down to earth, pragmatic and logical. I do think she was unprepared on several occasions not remembering our particular situation, not adjusting protocol. I think she let things slip and now we are paying for it. She also did not show concern or empathy. I do think she is experienced and knowledgeable, but perhaps a bit jaded.

Ask questions and insist on answers, don't leave until you get them. Get your doctor to do all major procedures. If you suspect something is going wrong, point it out and insist. Be your own vocal advocate.

IUI: 5mg Letrozole, estrace and endometrial in luteal phase due to poor lining - both cycles negative IVF: Antagonist protocols (Using Ganirelix and GnRH antagonist drugs: 300 IU Follistim, 150 IU Menopur), dual trigger (Lupron + HCG). We retrieved half as many eggs as we had follicles on the ultrasound (the rest of follicles were empty), we achieved 50% fertilization with ICSI, no other results yet

We are completely out of pockets so IUIs were between $1000-$2500 and our IVF so far (up to retrieval only) has been about $25,000

Dr. Lathi recommends single embryo FET after PDG/PGD. We like that approach.

I had very few interactions with Dr. Lathi. She struck me as very knowledgeable and compassionate. There was a communication mishap that led to me getting a treatment protocol that was slightly different than what I had requested. It was very upsetting to end up with a lower yield than my last cycle, but after PGS testing, I ended up with the same number of genetically normal embryos as I did in my last cycle. And in the end, I got what I wanted - a healthy baby. So I'm very happy with my outcome, although I wish the process of getting to it had been smoother.

I can't remember, but they were minimal because we had good insurance coverage

We saw Dr. Lathi just a few times and every time she seemed very tired and overworked. She barely would touch on what was happening and I would ask her multiple questions to understand our treatment and her plan. I never felt that was aware of our medical history or our unique needs as patients. I didn’t feel that she was invested in us as patients.

Look for someone else or if you decide to stick with her - make the best use of the time with her fellows.

There was a standard scheme of using Letrozole per our request. She didn’t hesitate to approve Letrozole and wasn’t pushing for Clomid. I can’t elaborate more, unfortunately, because we didn’t get much quality time with her. It was a quick 2 min Q&A session after the baseline ultrasound. Next time we saw her was at our IUI appointment.

We paid around $350/cycle due to our insurance coverage.

NA

Dr. Lathi is very smart and direct, however, she was so confident and then things went completely south so I lost faith in her very early on after our first egg retrieval. She tried to use ICSI for our 2nd round and was confident that was the issue, which it ended up not being. She was completely wrong about everything my body was doing so we had to switch clinics.

Careful to trust her, she has a one track mind and doesn't deviate from her set plan. Maybe if you're an easy, straight forward case IVF will work for you under her care, it sure didn't for me and that was a surprise even to her, which doesn't build my confidence in her. IUI was a success so I would go to her for that.

Both cycles used Menopur (150) and Follistim (300) for 10 days. She said I was a straightforward case with this protocol. It generated 9 mature eggs both cycles but the fertilization wasn't very good. ONLY ONE the first cycle - we did an investigation to see what went wrong but no one would speak up. Something was off. The 2nd cycle 8 mature eggs, 3 fertilized and made it to Day 3 (I wish I would've transferred them at that point) but not to Day 5.

My insurance did pay for some of my care and that is why I went to Stanford. Meds were over $5000 both rounds.

After my failed cycles she determined it was my egg quality but my results were much different when we switched clinics. She was only going to transfer one embryo. Stanford is very against multiples.

As I mentioned earlier, Dr. Lathi is not warn and fuzzy, but with that said, she is very compassionate. She talks through her line of thinking in a very palatable/understandable way, she addresses all of my concerns in a thoughtful manner, and she really blew me away when I learned I was about to miscarry for the third time. There was no sense of being hurried along. She sat with me, listened to all of my sadness and fear, and really helped me through the moment, and the “what next.”

Dr. Lathi knows her stuff. If you are someone who needs a lot of emotional coddling, she may not be the doctor for you. If you are looking for someone who can explain the ins and out, where’s and whyfores of the process, a doctor who will be honest with you both clinically and emotionally, then she is a great choice. I think she’s also a great choice for medical professionals undergoing the fertility journey.

I never thought I would do IVF. I’m a “choice mom” (meaning I’m single and used donor sperm to conceive my son), and had very little difficulty the first time around. I conceived him on my 3rd IUI when I was 39 years old. The second time around, I’ve had three miscarriages and three doctors, and now, at 43, I’m considering IVF. We went from natural (0 BFPs), to Letrazole (2 BFPs, 2 miscarriages), to follistim (1 BFP, 1 miscarriage) all with IUI. Dr. Lathi is now helping me to decide whether I will do IVF, or continue with Follistim and IUI.

My insurance doesn’t cover anything. About $345 per ultrasound. $600 per IUI. IVF with PGD testing is about 25K

Dr Lathi met all our expectations and I will definitely see her again for future pregnancies. Her and the team were professional and she most always was on time. We went through two IUI’s and moved forward with ICSI next. When it was time for the FET my lining was not responding to the supplemental protocol so we cancelled. Dr. Lathi changed my protocol which worked wonders because I’m pregnant now. Definitely recommend!

Come prepared with questions. She’s always willing to answer.

IUI 1&2 - Letrozole 2.5 with hcg trigger IVF cycle- low stim for pcos witb follistim, Menopur, ganirelix. Trigger was a Lipton trigger to prevent hyperstimulation. FET #1 attempt- estradiol to quiet ovaries and thicken lining. Didn’t respond to the estradiol so canceled. FET success- Letrozole cd3-7 - 5mg, cd8-14 Menopur, ovidrel trigger cd 15. Transfer cd 21. Lining ended up at 8.4.

We had 25k with insurance and went over the max between two IUI’s and IVF

Dr Lathi advised us to transfer one and gave the reasoning behind it. She told us our risks and let us make the final decision. After a lot of research, tons of time passing and listening to our gut we transferred two embryos.

Dr. Lathi's style was perfectly suited for me. After multiple pregnancy losses, I had seen a slew of doctors and run various panels. Everything looked "ok". Dr. Lathi was the only doctor who had me evaluated for endometritis, which I tested positive for. Although we'll never know if that was the real underlying reason for my infertility, it was the only anomaly that was discovered and she was the only doctor to identify it. Dr. Lathi is an academic and obviously abreast of the latest research studies/papers. That's exactly what I wanted - I didn't need my RE to be my life coach or spend a lot of time talking about my feelings. What I needed was someone smart, thoughtful and could ultimately get me pregnant! That's not to say she wasn't empathetic. I felt like she really cared about me but was also action-oriented. She was extremely efficient. Always on time for appointments, procedures with Dr. Lathi were quick and less uncomfortable than when other doctors did them, and she was direct in answering all my questions. I can see how some people may feel rushed, but my sense is that it's just her communication style. Also, both my husband and I loved how she was very forward looking. After each pregnancy loss, she was empathetic but also very positive about our next cycle. It was very much "ok, what's next", which was the push we needed. She also always had a plan - I felt like Dr. Lathi had the experience to adjust my protocol as needed, and based off of how my body was responding to the medication. Can't say enough how much I loved her and that I would highly recommend her to anyone suffering from Recurrent Loss.

Know that she is direct and to the point. Don't misinterpret that as cold.

Dr. Lathi strongly recommended single embryo transfers. When I asked her the reasoning why, she said there were less complications and risks associated with it. I completely agreed and still am very thankful that we only did single transfers.

I do believe that she is a good doctor and cares about her patients she just isn't good at expressing it. It took the loss of the child that we conceived through IUI for her to show emotion. She is efficient when it comes performing procedures, I do trust her and she shows confidence. However, she doesn't explain the process or show what is happening on the screen often. She doesn't present the statistics or lab results in their entirety. When she does explain something it is quick and short. She gets in and gets out.

Research the infertility process prior to the visit, come with questions and don't let her leave till they are all answered so that you understand.

For my first 3 IUI's we did them all natural, no hormones and no trigger shots. This was a decision by Lathi, myself and my cardiologist. I have congenital heart disease and we wanted to minimize the chance of twins. We also were diagnosed with unexplained fertility so didn't feel like there was a problem with my eggs or ovulation. After this produced no results we opted to try clomid and and ovidrel. This was my idea and I wanted to take the chance. This worked and we conceived twins.(She didn't perform this IUI) LOL! It worked, but I lost one twin at 8.5 weeks and the other at 20 weeks. I was in the care of my OBGYN when I lost at 20 weeks.

We have insurance that covers up to 50% of 6 IUI's. They didn't code my husbands lab visits correctly and we were billed 100%. I have yet to see a bill for our first 4 IUI's

Dr. Lathi is a good, friendly, competent doctor who would answer all my questions with one exception. No one at Stanford wanted to tell me my changes of successfully undergoing the process (I believe it is because my chances were good and they did not want to get my hopes up). In the clinic I saw a total of four other doctors when she was busy, so if continuity with the same doctor is very important to you, Stanford might not be the clinic for you. Wait times to see her would vary from 5 minutes to 45 minutes, which could be frustrating.

As I mentioned before there may be a wait to see the doctor, and depending on everyone's schedule you may not see her for important visits (she did neither my egg extraction or implantation), so again if seeing the same doctor and having a strong rapport is important to you, perhaps there is a clinic that does it better.

Dr. Lathi was efficient. The entire practice was not very personable.

arm yourself with knowledge and coming with a list of questions. and also be ready to hear it bluntly... drs cant tell you they are going to get you pregnant.. they would not be doing their job if they did this. they can tell you what research says, and give % of success.

She is friendly, but a little impersonal. I never felt like we got to know her well nor did she get to know us. I bet if you said my name to her, she wouldn't remember me. I do think she knows her stuff medically speaking. She suggested, given our situation, to skip IUI and go straight to IVF. It took just two transfers and we now have an adorable 7-month-old.

She is efficient and capable. If you don't need someone to hold your hand and make you feel better, then she is a good doctor to consider.

Dr. Lathi has been understanding and also follows up quickly with my questions in MyChart after my initial consultation. She adjusted my medications after my AMH results came back, and recommended supplements to get my body ready for the retrieval.

Ask as many questions as you have and feel comfortable following up after the appointments.

I am still in the process and will start the cycle in June.

My next payment is $8000 plus bloodwork and medications.