Ryan Riggs

I really liked Dr Riggs approach. He was direct about the potential success for my condition (recurrent loss) which my husband and I appreciated due to the cost of IVF. He explained the potential success rate for my condition and he really seemed to want to do everything he could to make it successful for us. Overall he seemed to feel confident that he could help us and he was willing to try treatments that some doctors might not try such as Intralipids which I really liked. He also never made me feel rushed which I also appreciated.

He is booking up fast so I would recommend getting on his appointment book as soon as possible as it can take some time between the initial appt. and the start of treatment.

For the egg retrieval he did the Antagonist Rome Protocol. I'd say I responded well as I ended up with 12 mature eggs, all 12 fertilized via ICSI and on day 6 I had 5 embryos. Due to my recurrent loss he recommended PGS testing and after everything, I ended up with 3 Day-6 PGS Normal Embryos. For the FET I started with 2 months of Lupron Depot due to my Endometriosis followed by daily lupron and other FET medicines. On baseline day my progesterone was too high so they canceled that FET. We tried again and yet again my hormones weren't quite right on baseline day so it was canceled again. While disappointing I appreciated them wanting everything to be right before proceeding as we didn't want to waste any embryos. On FET attempt #3 they increased my dose of lupron and that did the trick. On lining check day my lining was right on the line at 7mm even with being on lots of estrogen (Estradiol by mouth, estradiol vaginally, + estrogen patches). They explained my risk of proceeding vs not and ultimately he said based on past scans he felt that may be the best they could get from me based on past scans so they recommended proceeding but it was ultimately up to me. I decided to proceed and I'm glad we did as I'm now 20 weeks pregnant and all is looking great!

For 1 IVF Cycle it was approximately $22,000. That included Egg retrieval, ICSI, PGS, FET, and Medications.

Dr. Riggs presents the data straight with us and has the background to discuss our treatment plans, answering all of our questions. We live 2 hours away from the clinic and he has offered to do follow up consults with us over the phone to fit our scheduling needs, which we greatly appreciate.

Make an appointment early. They book up fast and have a long wait list.

We are diagnosed unexplained infertility. We have done all testing (hystroscopy, bloodwork, semen analysis) at Dr. Riggs, followed by trying naturally and 3 IUIs. All failed. Currently planning for an IVF cycle.

We have a high deductable insurance plan. The following were our costs: ultrasound $250, IUI $600, initial consultation $300, follow up consultation $175, and I can't recall the cost for the hysteroscopy.

My experience so far with Dr. Riggs has been a great one. He is very personable and understanding. He never made us feel dumb about our questions during the consultation. He made sure to explain who was in the room with us and why.

Go to him! He is thorough and takes his time with you.

So far I have only done the consultation and the blood work with Dr. Riggs. Everything was routine from what I had experienced before with another clinic.

The first cost you will have is 350 for the consultation. The you will have around 400 for the blood work and tests done. After all of the test results come back that they wanted done you will be contacted to set up another appointment with Dr. Riggs to go over those results. That second appointment is 175. I did really like that at the beginning the clinic will give you a pricing sheet that has all of the costs broken down for you with their exact prices.

Riggs has been a good doctor for me. He spends the time to explain and answer all your questions. He is a little salesy, but I never question whether he has my best interest in mind. I convinced him to do many more iuis than he had said he would and now I regret that we wasted time doing that. He is a great doctor and I recommend him to a lot of friends.

Book appointments early, they are booked for months.

Many iuis with clomid or letrozole and 1 iui with injectibles. 1 iui resulted in a chemical. Good AMH number, so I expected IVF would result in many embryos but I didn't respond well to protocol and was given option to cancel. Moved forward and have 1 frozen. Husband also has bad sperm, so we opted for ICSI and PICSI.

Was $500 per iui, but cost has gone up slightly. Ultrasounds were running around $200. IVF retrieval, transfer, genetic testing for up to 8, PICSI and ICSI is around $19000 without drugs.

Doctor does prefer and suggest to genetically test embryos, so he then prefers single embryo transfer.

Our experience with Dr. Riggs has been wonderful - I wouldn't choose another RE in Kansas City for our fertility treatment. Our initial consult was over an hour long and he discussed all of our options with us (he had reviewed our blood work and semen analysis results before meeting). Dr. Riggs wants to get to know you and your family, so sometimes the conversations go off topic but every question we had was answered. We met with him again a couple months before starting stimulation medications for IVF and we met for 45 minutes. On day 9 of stims, he called and suggested to think about cancelling the cycle because my response was not what he had expected with the amh level I had (only had 5-6 follicles in range). I was an emotional mess after the call but we decided to carry on with the retrieval and ended up getting 7 eggs. Dr. Riggs was not pushy about his suggestion to cancel and told me we had a couple days to think about it. I asked him what he would recommend if it was his daughter and he said to go for the retrieval. I appreciated his honesty. Our first frozen embryo transfer failed and he met with us again for about 45 minutes. He was compassionate and explained he didn't know why it failed and went through all of the hormone levels, results etc. Of course we were upset but saw that he was too, which meant a lot to us. Every meeting we have had with him has been 30+ minutes and he is thorough and answers any questions you may have. He also remembers details about your life outside of fertility which is really nice. I have never felt rushed out of his office, which I appreciate especially because I always did research before meetings and had many questions to ask him. Strengths: *Takes time to answer every question you have and provides honest feedback *Providing current/knowledgeable options based on his expertise *Keeps up with latest fertility treatment options (ie intralipid infusion recommended before our next FET) *Educates but does not try to sell his opinion *Treats you like family when it comes to cost/options/health/next steps *Compassionate care/personable Weaknesses: *Sociable and goes off on tangents sometimes (this wasn't a weakness for me but I can see it being one for someone else)

Dr. Riggs can come off as overwhelming but once you see that's his personality, you understand it's his passion for helping his patients succeed in their goals and he's really just excited/honored you chose him to be your doctor.

For egg stimulation, Dr. Riggs used the Antagonist-Rome protocol with PGS testing for my IVF cycle. He chose this protocol based on my AMH level being 2.1 and to get as many eggs as possible. For stims, I took vitamin D, Prenatal, birth control pills, Menopur, Dexamethasone, Cetrotide, Gonal-F, Pregnyl, Lupron, Doxycycline. My response rate was lower than expected based on the aggressive protocol and resulted in 7 eggs. 5 fertilized and 3 embryos made it to day 5 for PGS testing. 2 embryos passed PGS testing. For frozen embryo transfer preparation, I took low dose Aspirin, Progesterone in Oil, Estrace/Estradiol, Estrogen patches, Viagra Suppositories, Trental, Lupron, Medrol, and Novarel hCG. One PGS tested embryo was transferred and failed. Implantation occurred with low beta.

Estimated $20,000 with medications for one IVF cycle.

Dr. Riggs prefers eSET but was open to doing a multiple embryo transfer if that is what we wanted to do. He did educate us on the trade offs of both options.

My experience as a patient of Dr. Riggs’ has been wonderful. He takes the time to go over your options and to hear your story. During our first visit, he took the time to listen to us and hear about the identical twins we lost and our 5+ years of struggle. I never felt rushed during our appointments and always felt like he truly cared about us. Dr. Riggs consistenly welcomes all of my questions and always makes me feel comfortable with what the next steps are before I left his office. He is simply the best!

The best advise I would give to someone who is considering using Dr. Riggs and his expertise, would be to do it! Even though we do not have our miracle baby yet, I have the utmost confidence in him and his staff to help us get our miracle baby. If you want to feel welcomed and like family, Blue Sky is the place. If you want to feel important and cared about during every step of the process, Dr. Riggs is the person to make that happen.

The drugs we have used for our embryo transfer are as follows: Progesterone in Oil Estrodiol 0.1 mg patches Estrodiol 2mg orally Pentoxifylline 400mg Estrodiol 1mg vaginally Methylprednisolone 16mg Leuprolide Acetate Injections Pregnyl injections Sildenafil Citrate Depot Lupron

I appreciate Dr. Riggs and his honesty regarding a single embryo transfer vs a multiple embryo transfer. He is a responsible doctor who wants the best outcomes for his patients.

My husband and I love Dr. Riggs. He is very open to hearing patient suggestions and will let you know why your suggestion works or why it doesn’t. He takes the time to sit with you and answer each question and is available at any time if you think of something new that didn’t come up in your meeting. He is always very positive but also realistic. He works really well with his staff and is great about collaborating care.

He loves talking! So sometimes he can go on little tangents and get off subject. But this is one of the things we like about him because through this we’ve been able to spend more time talking and building a relationship with him.

My husbands original semen analysis was normal and my labs for DOR were not too far from normal so we started with IUI. We did 3 cycles with letrozole that failed. Dr. Riggs decided he would like a hysteroscope in case the hysterosalpingogram missed something. We found some uterine polyps. I had a surgery to have them removed so we decided to try a 4th IUI with letrozole. We did not do any injectable IUI cycles as we wanted to save that money for IVF. After the 4th IUI failed we took some time before we moved on to IVF. In the labs prior to IVF my husband had another semen analysis which told us he has an abnormal sperm morphology. Dr. Riggs always suggests using ICSI for fertilization so they said we could still move forward with IVF. My labs had not changed from the previous year. We went through one egg retrieval where we got 5 eggs. 4 were mature, 2 fertilized and we got 1 blast to freeze but unfortunately it was PGS abnormal. We are trying for a second egg retrieval soon with a different protocol.

IUI with oral medications less than $3,000 IVF + meds approx $21000 (This includes embryo freezing, genetic testing, ICSI)

n/a

I met dr riggs at the end of 2017. He had a set plan, explained everything we would do and how. He was aware of my previous visit with a different ivf specialist. Me and my husband decided to take a break for 2018 and i went back to Dr. Riggs beginning of 2019. He remembered me as a patient and followed up since it had been a long time. He made sure we were on the same page and got the process moving.

Ask him all your questions because he will have the answers

I am just starting to get the ivf process started with dr riggs. He told me to make sure i take my prenatal vitamins. I went back for blood work and an ultrasound. I Am on provera have to get an HCG scheduled once cycle starts. Results from blood work say my vitamin d is low so he said to take some vitamin d. Am on medication for thyroids. Once genetic testing comes in dr . Riggs plans to regroup and go over results in more depth

Office visits. Sperm analysis. Medication.

He is down for either.

Dr. Riggs does a fantastic job of making you feel like you are as important to him as family. You get individualized treatment and attention from him at every visit. He is warm and friendly, and will give you his honest opinions and expectations for your cycle.

Ask questions if you don’t understand a number, statistic, procedure, or outcome. Dr. Riggs is always ready and willing to break things down as they can be confusing at times during this process.

We decided to do a uterine polypectomy surgery after our egg retrieval to make sure we gave my uterus very little time to regrow any polyps between retrieval and embryo transfer. Dr. Riggs was also concerned that I was at high risk for OHSS, so he made sure to start me out with the lowest amounts of follicle stimulating drugs during retrieval prep. We also did a mock embryo transfer so that the real embryo transfer would be easy and smooth. Overall I was Impressed by his treatment plans and precautions to make sure I was under the best care.

For one round of IVF including an egg retrieval, uterine polypectomy, genetic testing, embryo culturing and storing, and one frozen embryo transfer we estimate our cost at somewhere around $20,000.

We have not been through an IVF cycle with Dr. Riggs yet, but even through our preliminary appointments and some follow up testing, he has been incredibly personable and kind. I don't need or want a doctor to sugarcoat the truth for me, but I do want to be heard, and I do want things explained to me, and I feel like both of those needs have been met at Blue Sky.

Go now! Because Dr. Riggs is developing a good reputation in KC, his schedule fills up fast, at least for IVF cycles. He cycles his IVF, so you can't just start at any time. When we started seeing him in January of 2018, he already had a waitlist for his July IVF cycle.

We are still in the early stages of planning for our next IVF cycle, and protocol is going to be discussed in more detail next week. However, after a failed IVF cycle at another clinic, I purchased the book "It Starts with the Egg." I understand that some of the book's suggestions may not be completed proven, but I was happy to hear that Dr. Riggs wanted to put me on some antioxidants and other supplements prior to another cycle. I was frustrated with my previous clinic that they didn't suggest taking anything - especially things that may help and couldn't hurt.

We haven't paid for our IVF cycle yet, but from the information we have been provided, the cost seems comparable to our previous clinic. We did make a $500 deposit to get an IVF slot reserved.

Dr. Riggs treated my wife and I as individuals and was not accepting of our same-sex marriage. He helped us find a lawyer for legal advise for our situation. He took the time to meet with us and it didn’t feel as though he had to look through our medical chart to remember us. He is very personable and I would recommend him and his office to everyone.

Don’t feel afraid to ask all of your questions. Dr. Riggs is knowledgeable and wants to ensure you know exactly what is happening throughout the IVF process.

We are starting the stimulation phase in a couple of weeks and Dr. Riggs has wrote out a plan for our IVF meds. We have not started this yet.

The cost is estimated at $17K to include medications. The staff informed us of different programs to aid in the cost such as Baby Quest grants, medication discount programs and veterans program discounts.

Dr. Riggs explained the embryo transfer process to us and we felt comfortable and at ease knowing the level of detail him and the embryologist go into to ensure the best possible embryo outcome for the patient.

Dr. Riggs is good at communicating with my husband and I and making sure we understand everything. He is compassionate and understands that infertility is a very tough situation that he is dealing with and he is a gently but straightforward communicator. Our main infertility issue is male factor so Dr Riggs suggested having us look into donor sperm. We tried, but it was something we decided we couldn't do. Dr. Riggs did not try to push it on us. He explained that if My husband's sample does not have enough on egg retrieval day, then they will just freeze my eggs until we have enough. It was nice that he found a solution for that.

This advice would go to anyone that is seeing a fertility specialist, you have to trust your doctor. If you go into it and you're skeptical, you don't feel like they have your best interest in mind, or you feel like they aren't good at what they're doing then you're not going to have a successful experience. You have to trust who you're working with and believe that they want the same end result as you do.

I am currently on an antagonist protocol. I am on stims two times a day for ten days. I will have 5 appointments to monitor my egg growth and my egg retrieval will be on day 12, 13, or 14. Dr. Riggs does PGS testing on the embryos, so I will have them genetically tested and frozen. My transfer will be in two months.

I had my appointments in the morning and I was seen right away.

My insurance does not cover anything so I have paid everything out of pocket. Our IVF cycle is $15,540. That does not include the cost of the appointments, because those are also not covered under insurance.

Dr. Riggs will not transfer more than two embryos. With PGS testing there is a greater chance of transfering in multiple embryos that would stick. He does not want to create a pregnancy that could result in birth complications if there are multiple babies. He has expressed that he not only wants to get us pregnant, ut he wants us to give birth to a healthy baby as well.

I started with Dr. Riggs May 1st, 2017. I am recently divorced and journeying through the IVF experience alone. He has been absolutely nothing less than encouraging and supportive, but also helpful in keeping my goals realistic. I went through a workup to figure out why I was unable to conceive on my own. Although I struggled with the findings, I was still hopeful and encouraged for what I would be able to accomplish with Dr. Riggs and his team. I started my first cycle on 12/21/17 through 2/27/18. Giving myself 5 shots a day, alone, even as a nurse was extremely intimidating! The staff was available for 24 hours a day to answer questions. If I had them, they never made me feel ignorant or an inconvenience! Several ultrasounds in, and based on lab results, it appeared that my body wasn't responding to the meds. Dr. Riggs remained honest throughout the entire time. As a nurse, I appreciate the honesty given in a compassionate manner. I think healthcare professionals often times are either one or the other. Although the first cycle was a bust, it wasn't at the fault of Dr. Riggs. We also sat down and talked about my goals and desire to try another cycle. Through this, I learned how ethical of a man and physician he is. He very easily could have encouraged me to go through several cycles. However, we decided on one more before discussing other options or walking away altogether. Being ethical is something that women and couples need to consider when looking for a physician in this field. It can be a money driven business. I trust Dr. Riggs with my body, my emotional well-being, and my wallet. My next cycle will start May 25th, 2018.

He's the best in KC!! He's more than a doctor, he's family.

I was on a protag protocol (from what I'm told). I had Lupron SQ twice daily. I had Gonal F at bedtime. In the AM I also had Omnitrope and Menopur SQ. Plus an oral Dexamethasone. The US before the tentative retrieval, I only had 3 follicles in the right ovary and none in the left. Therefore my cycle was cancelled.

My costs were fair. I encourage anyone to research cost and comparables and to find a physician whom is transparent regarding everything, especially financials.

I didn't get that far into my journey, this round. I can tell you as a single, heterosexual female I would NOT have chosen multiple embryo transfer.

It was refreshing to be with a clinic that cared and did everything that we wanted from PGS testing to freezing our embryos. Dr. Riggs was a team player with us and we felt that we could discuss anything and everything with him. He has our best interests. It never felt like the clinic just wanted our money.

I think it's important to know that Dr. Riggs does sometimes talks over you, or you might feel he is not listening. Once I understood this was his personality I adjusted how I spoke to him but in the beginning, it was very annoying.

Dr. Riggs was slow and steady with me he didn't over medicate like my previous RE did. I stimulated beautifully resulting in 14 eggs retrieved my first IVF cycle with Dr. Riggs and then 6 retrieved my second IVF cycle. Every month is different so I wasn't that upset that I only retrieved 6 eggs for the second cycle. He added in HGH and dexamethasone and Lupron to be used with the trigger. These drugs were never used in my previous IVF cycles. We wanted to freeze all so we could PGS test.

$20,000-24,000

Dr. Riggs was an honest, likable individual. He answered all of our questions and was candid about what we should expect. He gave us an honest, educated opinion every step of the way.

Make a list of questions prior to each visit, to ensure they all get answered.

We attempted two rounds of IUI using Femara. I do consistently ovulate, but I have Diminished Ovarian Reserve, so the goal behind this was to stimulate a "good" egg. Unfortunately, we did not succeed at getting pregnant. Next, we tried IVF with maximum stimulation using Follistim, Omnitrope (growth hormone to increase egg quality), and Menopur. Unfortunately, I did not make enough follicles to proceed to egg retrieval. Dr. Riggs was willing to try a different treatment approach in an attempt to make more follicles, but we opted to move on to embryo adoption at that point.

Each IUI cycle was approximately $1500, and the IVF cycle was $15,000 (fresh cycle, no genetic testing of embryos). The additional costs such as labs, surgery, and other procedures brought our total for the year to $30,000

Dr. Riggs was very candid about our possibilities, including risks. He was conservative but appropriately aggressive with treatment. I didn't mind that he wasn't warm and fuzzy because I'd rather have somebody who gives it to me straight. He clearly knew what he was doing and I trusted him completely.

You won't actually see him very much, but he knows his stuff.

I think the IUI, with meds, cost about $1000. That included ultrasounds, sperm washing, etc. IVF costs were about $16,000, I think, not including medication (which brought it up well over $20,000).

I thought that Dr. Riggs was a good doctor but I don't think he looked into the facts of our case and rather just picked out a protocol for our age and used a lot of medication. I had better results and more tests with another doctor.

Stand up for you case and ask questions. Ask why he is choosing those medication dosages and why that protocol. We did a second cycle with Dr. Riggs and we had horrible outcome and we did a second cycle with the same protocol and again had a horrible outcome. We should of pushed on why the protocol stayed the same or asked for a second opinion.

For both cycles I used about 40 vials of menopur and 60 vials of bravelle. I believe it was an antagonist protocol. I cycled for about 9 days. Both my husband and I used their vitamin list to prepare for both retrievals.

They had open times for ultrasound and bloodwork when I was there. It was a very short wait for both appointments and it was usually the same nurse.

I did two IVF cycles with Dr. Riggs and we also did CCS testing. We did our IVF cycles back to back with two separate CCS testing. We never did a transfer as our one embryo is still frozen. I believe between medication and cycles we spent about $65,000. The medications were very costly as for my first cycle it was $8,000 and my second cycle was $6,000.

We never got to a transfer.

Dr. Riggs is incredibly intelligent and his passion is evident. He just wants to help people have babies. He geeks out on telling you the science behind it all if you ask. He listens and doesn't make me feel like a number.

Make an appointment early, he has a wait!!

We first got a diagnosis, only after a few weeks. It was refreshing because the other clinic didn't even run the same tests to diagnose. After a previous ectopic and loss of a tube, He suggested IVF..especially since we've had 11 other failed cycles. We did try one IUI cycle. I did have a good egg after letrazole...but we did not end up pregnant. Plan is to start IVF cycle next month.

My insurance does not cover treatment. Payments were due at time of treatments. IUI treatment was about 1300 and the upcoming IVF will be about 22,000.

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We have only seen Dr. Riggs for our initial IVF consult and plan to have our first IVF cycle in the next 2 months. From the moment we walked in, we really felt at ease about our treatment plan! He talked to both myself and my husband and made sure both of us felt comfortable! I would recommend him to anyone looking for help starting their family!

Make the appointment!

We have not yet started our cycle yet so unsure of the protocol but based on my endometriosis and pcos he said i would likely be on an antagonist protocol with a double Lupron trigger to minimize my OHSS risk.

We do have some coverage with insurance, so the pricing may be skewed. For our IVF cycle including one FET and genetic testing of 8 embryos, we will pay $5,600 plus medications.

Dr Riggs is extremely smart and has a lot of experience. My husband loves him but I feel I need more compassion. He sees these 'issues' every day so they seem like no big deal to him but when I was first going through this process every 'set back' was a broken heart for me and he said everything so casually. Dr Riggs is great at explaining ultrasounds and what he is looking for. I felt like when I would ask questions they wouldn't be answered, he would just talk around my question. I am happy to be a patient of his and would recommend him.

Our insurance did not cover anything so these are cash prices: IUI - Sperm Isolation $250 plus Insemination $250 Baseline Ultrasound $270 Follicle Check Ultrasound $300 Hysteroscopy $850

Dr. Riggs explains everything in detail giving you caution where needed. He is hinest and genuinely cares for his patients. We have have had a great experience with him and would recommend him to our friends and family.

Make a list of all of your questions before your appointments. Most of the time, he will answer them before you ask!

I started birth control about 2 months before treatment to ensure my cycles were regular and then I was on the Antagonist Protocol using Menopur, Gonal F and doxycycline. My antrical follicle country was on the higher end so I was monitored closely to prevent OHSS. I did not have any complications from my eggs retrieval.

It was always convenient for me. They would work with my schedule to ensure I never had any conflict.

Our care cost us about 15 thousand after insurance.

Dr. Riggs makes sure that you have information regarding PGS testing to pick the healthiest embryos possible. Once the testing is done, he recommends only transferring one embryo at a time.

So personable and very kind and compassionate. He took the time to get to know us, and to make sure we felt comfortable. When I had diagnoses that were scary and new, he was very compassionate and understanding. He also delivered information in a very clear way. He made it easy to understand.

Go see them sooner. The cost is worth the quality of care.

He is very kind. You can tell he is passionate about what he does. I do wish I had a more direct communication relationship with him. I prefer to know the bad and good and all the details in between, it puts my mind at ease the more I know. I feel that is opposite for a lot of patients and haven’t quite found the right communication that I am looking for.

Go in with direct questions and make sure you understand answers prior to leaving.

He uses a spreadsheet to keep track of all lab tests, lab results, last testing and will create or adjust treatment based on this spreadsheet. It is very helpful to see and reassuring in moving forward with care.

Estimated costs for everything were about $11-16,000 without medications

He has recommended single embryo transfer. Although we have not been able to get to the transfer portion of this process yet, it is my understanding that he is willing to do more than one, although not more than two at one time based on research and recommendations.