Samuel Pauli

Dr. Pauli has been fantastic. I really appreciate his straightforward manner. He's approach tends to be more conservative and while I have not gotten pregnant yet, I don't think this is a reflection of his clinical skills.

Ask lots of questions. Dr. Pauli always seemed willing to answer all my questions and explain his rationale for my treatment plans, and asking questions helped me to understand.

We did three IUIs with Dr. Pauli using letrozole, which he selected because the academic research indicates women with PCOS tend to respond better to letrozole than clomid. During the first IUI cycle, we started with the lowest dose and incremented up until I was on the highest dose plus dexamethasone. For our egg retrieval, he had me do an antagonist protocol with Cetrotide. I don't know the rationale for this protocol over others, but I responded will in terms of follicles/mature eggs produced. On retrieval day, we got 21 eggs, 16 mature eggs, 16 fertilized, and 6 embryos frozen on day 5. I did develop mild OHSS. For the first two frozen embryo transfers, Dr. Pauli had me on a birth control and Lupron down regulation then estrogen in increasing doses before starting progesterone in oil after a lining check. Both transfers resulted in negative betas. We switched to ovulation induction with letrozole and an HCG triggers shot for the third embryo transfer, which resulted in a chemical pregnancy. I stopped responding to letrozole, so we switched back to the original transfer protocol and did an ERA, which showed that I was 1 day pre-receptive and needed an additional 24 hours of progesterone. Our fourth embryo transfer resulted in a missed miscarriage between 6 and 8 weeks. Fifth transfer resulted in a negative beta test.

My insurance has covered the majority of my costs.

In my situation, he strongly suggested elective single embryo transfers for the first two transfers. After that, he seemed more amenable to doing a multiple embryo transfer if I pushed for that but still recommended single embryo transfers.

Dr. Pauli was clear, direct and provided us with information that we needed to plan our treatment. Dr. Pauli presented treatment in a clear and straightforward way and was pragmatic about the course of treatment. Dr. Pauli laid out the process clearly and gave us some options. He was open to our preferences and laid out benefits and drawbacks to all potential courses.

Come to your appointment prepared with any questions. Dr. Pauli will take time, but he is also efficient and sees a lot of people. I did not get the feeling he was trying to move us along, but I came with a lot of information already, and my husband wanted to get his head around the process more. He got flustered and didn't remember some questions he had previously. Don't be discouraged that he is not initially the warmest doctor. He was pretty flat, but he is clear, direct and thorough, which at this point I value more than warmth.

Dr. Pauli mentioned that some of my levels are in the borderline range, and he might aim for a more aggressive protocol for stimulation. I am not yet sure what this means i terms of medication dosages.

We have been quoted: 8,450 IVF 4400 Frozen transfer 3700 Pre-implantation genetic testing 1200 ISCI upward of 5k meds

Dr. Pauli was cautiously open to multiple embryo transfer when my husband asked, but standard us eSet and he saw no reason to deviate given our health history and age. He would potentially consider based on quality of embryos.

Coming from a doctor with no bedside manner Dr. Pauli is a breathe of fresh air. He has a sense of humar which is needed in this journey and comes highly recommended in the online support group I’m in.

If you’re looking to pick a fertility doctor or make a change go for it!

changing my injections as needed to keep follicles growing while also trying to prevent OHSS.

$9,400 for IVF and monitoring plus medication roughly $2,000-$4,000

He isn’t in the business’s of making multiples and does what’s best for you to not have a high risk pregnancy.

He really wants to have his patients succeed, and he is very modest and will tweak protocols when something doesn't work. He was always very kind and easy to talk to, and I am sad that things didn't work out. Towards the end of my time I felt like he was almost too kind and would say what he thought I wanted to hear rather than what I needed to hear.

If you are under 35 and have no history of recurrent pregnancy loss, than you should do just fine with him. More advanced cases with older patients and recurrent pregnancy losses may need to look elsewhere.

Round 1: Menopur and Gonal F, Cetrotide Pregnyl Trigger 8 eggs, all mature and fertilized. 1 fresh transfer "worked," miscarriage at 11 weeks. Karyotype revealed a normal pregnancy and unexplained loss. 2 remaining untested frozen embryos. 1st negative pregnancy test, 2nd "worked," miscarriage at 8 weeks due to triploidy. Round 2: Menopur and Gonal F, Cetrotide Pregnyl Trigger Added PGS. 7 eggs, 4 fertilized, 1 abnormal blast. Round 3: Menopur and Gonal F, Cetrotide Pregnyl/Lupron Double Trigger Added PGS. 10 eggs, 4 fertilized, 1 abnormal blast. Round 4: Lupron Flare with Lupron and Gonal F only, Pregnyl Trigger Added PGS. 11 eggs, 4 fertilized, 1 PGS normal blast. Miscarriage at 6ish weeks with low beta and slow heartrate. Was found to be an abnormal blast after karyotype testing.

If you go early, then you'd be fine. Mostly people didn't show up at their designated times, so it was generally first come first serve. The satellite clinic I went to was amazing and they loved seeing me so much.

Luckily, we have health insurance, so our rounds were completely covered. Medications had to be paid for though, but they only made out to be in the $200 range tops.

With PGS, it was advised to transfer 1 only. Without PGS, then we were advised to transfer 2.

I can't say enough about how fantastic Dr. Pauli is. He is thorough and honest in his explanations of options for me and chances of success. He is creative and thoughtful in his approach to my treatment. He listens to my concerns and questions and I never feel talked down to. He's been invaluable in navigating this process, and I trust him implicitly.

Ask any questions you have, anytime. Dr Pauli will answer them honestly.

We used a microdose lupron flare protocol. We primed with estrogen (2 mg tabs morning/evening) from Day 21 of my previous cycle until my current cycle started. 10 units MDLupron starting the evening of my suppression check, and morning/evening thereafter. Follastim 300 units morning/evening starting on cycle day 4. We've retrieved varying numbers of eggs (anywhere from 4-7 per cycle) and anywhere from 2-4 have fertilized each cycle. I'm older (42) so getting eggs to develop to Day 5 was a problem for the first 2 cycles. This past cycle we did a fresh 3 day transfer of the 2 fertilized eggs we had, but it was not successful. We're trying a similar cycle now, and will again do a fresh transfer with any fertilized eggs.

Most was covered under my health insurance (thankfully). We didn't end up using PGS testing, but that would be an out of pocket cost, as would using frozen donor eggs.

We are doing a multiple embryo transfer, as I'm older and my egg quality hasn't been great. Dr Pauli felt that would give us the best chance of getting pregnant.

Dr. Pauli has great bedside manor, even while delivering bad news he makes you feel like he cares. I also like that he doesn’t give you false hope and tells it to you straight. Dr. Pauli has made me feel like I have say. When a cycle didn’t work he listens to my concerns and discusses the what to do next. I am a scientist so I am always reading medical journal articles, and Dr. Pauli respects that is willing to try things if it makes sense for a positive outcome.

Don’t be afraid to ask any and everything you can think of.

My first IUI we tried clomid, but it hampered growth of my uterine lining. So I ended up with a negative test. For the next two cycle of iui we just used gonal-f at 375 units twice daily, still we got a negative. I never had more than 4 follicles. For the first IVF we used BC, lupron and final-f. After the BC my body had a difficult time restarting resulting in 22 days of injections. However there were 3 follicles and two were retrieved. Both follicles were fertilized by icsi and were day 3 transfer 8A embryos my lining thickened to 7mm. Unfortunately we saw a negative. When meeting with the Dr we discussed what might have hampered things, my concern was that the BC was too suppressive so we tried just estrogen and lupron. . After 14 days of injections my lining had thickened only and I had only one follicle and It didn’t want to grow. So to my dismay the cycle was canceled. The third cycle we went back to BC with clomid, gonal-f and a antagomits. Centrolide the antagonist hurt and bruised me for weeks. Once again my lining did not grow past 4mm, I did have 2 nice follicles. Due to the low # of follicles the IVF cycle was converted to iui. Nothing stuck. Dr. Pauli told me as long as I produce eggs we will try, but I need to start thinking about using a donor egg. That is tough to hear but it is realistic. My current cycle is just beginning with BC, lupron and 375 BID. I hope we get a positive soon.

Medications, copays and lab work.

He was incredibly knowledgeable. He took the time to go over our five previous cycles in great detail, including dosing and why he thought our outcomes were what they were. He was quick to adjust my doses when my terrible ovaries were not responding well to stims, and was very candid about the fact that my retrieval might not be successful due to my ovaries being displaced by adhesions from endometriosis. The best was the voicemail I got from him wishing me a happy and healthy pregnancy about a week after I was released from the clinic, that and the fact that he personally called me to talk about my fertilization report. And let’s not forget that it took my last doctor eight embryos over five transfers to get me a live birth, and it took Dr Pauli just two eSETs to give me the gift of my second daughter, who is due in less than two weeks.

Take the time to ask questions, because he will answer absolutely every single one of them candidly.

We did an antagonist protocol with very high doses of stims for over a week, I think I stimmed for 10 or 11 days? HCG trigger, retrieval went well, fresh eSET resulted in a chemical but I’ve never had luck with fresh transfers. Second transfer was a successful frozen eSET, used PIO for the first time, old doc had me always using Crinone. Also used baby aspirin for the first time.

Covered 100% by insurance

Our original plan was actually to transfer two at a time given my history, but my insurance limited us to eSET because of my age (under 35) and prior successful pregnancy. He did originally suggest eSET but after going over my history (three transfers of two embryos at once resulting in just one singleton) agreed that two was probably safe for me. I’m glad we ultimately didn’t take that path though!

Dr Pauli is a very science based doctor. He wanted to stick to what has been scientifically researched in terms of supplements and remedies. He listened me for my suggestions and agreed to do a procedure the way I wanted.

He is very nice. But don’t ask him about supplements and other things you would do to increase your fertility.

Because I had already had four IVF cycles before I saw him, dr Pauli reviewed what worked well and didn’t work well for me from the previous cycles. He did both antagonist and birth control for prep. Used Gonal-f (follistim) as FSH and menopur and lupron. I used clamid and femera as well. When I used femera and small dose of follistim, I had day 5 transfer for the first time although it ended in negative pregnancy test.

It was about $10,000 for a complete cycle plus testing and lab. My insurance covered almost all of the full cycle.

None

Very detailed and thorough. Made numbered lists. Talked through all aspects of the situation with precision and compassion. Calming bedside manner -- not overly empathic, so seemed trustworthy.

If you like someone who makes lists and is detailed, he is your doctor. I didn't want someone who would be overly emotional -- I wanted the news straight, and that's what I got.

My insurance required 2 IUIs before IVF. For IUI, used Letrozole and an Ovidrel trigger. Now in middle of IVF. Using Menopur and Gonal-F for daily injections. HCG and Lupron trigger. Cabrigolide to prevent OHSS, will use progesterone cream and estrogen patches to support transfer.

I have excellent insurance with a $4000 deductible. after my deductible was satisfied, everything was free. Office visits were $300-$500, blood work and ultrasounds were usually around $150. Medications were thousands.

Definitely said not to do more than 2 embryos. On the fence about 1 vs 2.

Dr Pauli is great! He's soft spoken and kind of serious but extremely kind. He was happy to try new things. He called us after hours to give results to tests and spoke to us at length about all upcoming procedures. I trust him implicitly.

Don't be nervous to ask any question no matter what. He won't speak condescendingly and explains all angles of everything.

We did an antagonist protocol with 150iu of Menopur and 300iu of Gonal-f. We switched to a Lupron trigger from an HCG trigger because I was at risk of OHSS. We had done this protocol before but it was my best cycle so we tried it again.

Relatively efficient. A bit of a wait for blood work but nothing too crazy. The ultrasound techs are lovely.

Everything is covered under my insurance. PGD testing is covered as a reimbursement.

We've never had the privilege of the choice but Dr Pauli said that because we're doing PGD testing he would recommend transferring one embryo.

Much of what I wrote previously, he was willing to entertain my out of the box suggestions but I found his own approach very cut and dry. Admittedly I was not always right and when we did finally successfully conceive it was on a cycle that was very close to his original treatment plan. I liked that he was open to new research and always explained risks and benefits of what to try and if statistically it could make a difference. Personality wise he's very serious and my husband always joked that my humor was lost on him. He did always listen and considered our best interest and was encouraging that even with l we had been through that he was confident we would figure out something that would work and he was right.

Don't be afraid to ask questions and make suggestions if there's something you've read or something a friend has used that he hasn't recommended. He's very patient and informed and willing to work with his patients.

I can't remember specific names but my first cycle was just gonal f with trigger and fresh transfer. 12 eggs, 6 mature, 5 fertilized, 1SET, 2 frozen. Miscarried at 10 weeks. My second was a natural cycle frozen transfer of 2 embryos. Miscarried a singleton pregnancy at 7 weeks. My second retrieval we extended retrieval after trigger from 36 hours to 40 hours as my first cycle only half of the eggs were mature. We also added menopur & dexamethasone. 16 eggs retrieved , 13 mature, 12 fertilized. Fresh day 5 SET followed by chemical pregnancy. Next natural cycle FET of 2 embryos, negative result. Next natural cycle FET of 1 embryo, chemical pregnancy. Third retrieval we used a cycle I found from some doctor in NYC and although Dr Pauli didn't agree he let me try it and it was disastrous. It was heavy on menopur but I can't remember the other details. It took a long time to mature any eggs and at by retrieval i had 6 follicles but only 3 eggs and 2 was mature. Both fertilized and we did a day 2 transfer, negative result. After that we took a few months off. Our last retrieval we decided to do Human growth hormone injections and PGD testing. The cycle otherwise was similar to my second with gonal f (200) menopur (75), dexamethasone and HGH. He did an extended time between trigger and retrieval again. We ended up freezing all due to progesterone rise before retrieval and subsequent OHSS. Although i had only 13 follicles they were much better quality and 12 were mature eggs and all 12 fertilized. 7 were sent for PGD testing as 5 day embryos. 6 were genetically normal. A month later we did a natural FET of 2 embryos (an elective SET was strongly recommended but we decided to transfer 2 anyway). We had twin girls from that transfer, born healthy at 38w3. 17 months later we did another natural FET of one embryo. We did find out the gender prior to FET and are expecting a boy in 5 months.

My insurance fortunately covered almost everything but copays.

Dr Pauli was incredibly sweet and helpful. He always broke down our plans in the most simple way possible to avoid unnecessary stress for us. He answered all questions to the best of his ability and would often give us a few different options to make sure we were making the right choices for us. He was in touch regarding each procedure and what to expect next.

He's amazing. He is working for YOU and honestly wants to help you achieve what you want. He's patient, easy to talk to and genuinely interested in your personal story.

We tried very painful (for me) iui's and when we started to run out of donor sperm doctor Pauli suggested IVF. My wife carried our first child using the donor and we really wanted them to be biological siblings. I started ivf - birth control for a couple weeks, then injections (up to three a day) and then egg retrieval. He retrieved 12 eggs, 9 were excellent and we used 4 total trying. Our first ivf ended in a negative test, the next we used two eggs and got a positive, but had a miscarriage at 7.5 weeks and now I am 8 months pregnant with the fourth egg -- our son.

I can't even talk about it. We paid so much because we are military and they don't cover fertility treatments. It's still a sore subject

I felt like he did a great job. He follows the western medical model and as a patient I needed to remember that he was going from that philosophy which isn't the whole picture. I have been considering returning for another cycle though. The fact that he did most of my surgeries helped me trust him with understanding my specific fertility treatment needs as complications arose.

1. The body needs time to recover and heal in between surgeries. Sometimes focusing on the body clock medical model although has evidence behind it, may not be paying attention to the need for recovery time. 2. Get to know a few more other approaches that are also evidence based for informed referral practices because ivf treatment really requires an interdisciplinary approach and model. Specifically - for emotional and psychological support: Music therapy and other creative arts therapies/ expressive therapies. Dietician should definitely be a part of ivf treatment as well as acupuncture for sure! If I had not had these areas covered in my treatment with Tamie, I would have definitely been prescribed more medical model medicine, or surgeries and not found the root of the issues I was facing.

2 x fibroid removal surgeries, 3 hours long each. 1 or 2 months between each. 1 cycle, gonotropin? and the other injections: one for egg quality and one to control the cycle. egg retrieval with 2 eggs, successful positive test unsuccessful pregnancy 2 natural egg transfers, 1 at a time. a few months between each other with progesterone.

not sure, my insurance covered most of the costs.

Dr. Pauli has great bedside manners. He truly listens and cares about the patients that he is trying to help. If it's a viable solution, he will help you try it. In my case I was diagnosed with "Unexplained Infertility" and had 3 failed IVF cycles before seeking help from Dr. Pauli. Knowing what I know now, I would definitely have gone to him first!

If you have done some research on your situation and believe it will help, please share with him. This will help him help you.

The protocol involved following the natural ovulation cycle and used heavy hormone stimulation (Gonal F and Ganirelix) to increase the most amount of eggs that can be retrieved during ovulation that was triggered with the trigger shot. Then I believe with only 6 eggs retrieved, ICSI was performed.

The IVF cycles were around $20K per round.

I am very happy with Dr. Pauli and recommended him to a friend who also had success. He was the second doctor I went to. I was unsatisfied that my first doctor was recommending the same course of treatment after 3 failed fresh transfered and 2 failed frozen transfers. Dr. Pauli on the other hand recommended genetic testing of the embryos, which I believe was the key to success for us.

I don't remember specifics of the successful cycle, except that PGS was done to genetically screen the embryos.

Dr. Pauli is fantastic. We had male factor infertility. He did not overpromise results. He explained all our options in detail and was not overly rosy about it. When he did procedures like the saline ultrasound and embryo transfer, it didn't hurt at all, unlike the previous doctor I had who did my HSG. It's been almost three years since I've seen him, so I may have glossed over some negative things, since we have a baby now, but we plan to go back to him when we want to grow our family again.

Ask him all your questions, including asking what he thinks you should do. He has your best interest in mind - balancing the impact on your body with the likelihood of successful live birth.

We had a pretty standard treatment of IVF with ICSI. I ovulate normally so it was straightforward. It's been 3.5 years so I forget a lot of it. I was on lupron for a while, then something else was added that had to be refrigerated. I was being monitored closely for overstimulation because that happened when my former OBGYN in Indiana prescribed me clomid. I had no problems with Dr. Pauli's treatment, and it worked in one round to bring us our daughter, probably a factor of my young age and it being a sperm issue.

I had a high deductible plan, so once I paid my deductible that was it. When I saw the retail prices of treatments and visits that my insurer paid they weren't as high as I thought they would be.

Dr Pauli was great to us. When things didn't work out the way any of expected it to, he was the one to tell us, sometimes going out of his way. One time he even made sure to catch me in the hall before going in for my transfer to give me some not so great news. There were times he called me instead of the nursing staff. I really appreciate that he went out of his way. In the one successful round we had, we learned the baby's heart had stopped beating at our last ultrasound before being released to our ob. Dr Pauli made sure to schedule my d & c for a day he was performing transfers. À Year after I left his care, I learned I was pregnant spontaneously. I called the clinic to let dr Pauli know, leaving a voicemail not expecting to hear anything. He called me back shortly thereafter and once again was so kind. The fact that we were unable to conceive under his care was not his fault.

Take a deep breath and know that it won't be a smooth ride, but Dr P will have your back

We did 6 rounds of Ivf / icsi. I don't remember the details - it was 4 years ago and a lot has happened since

Covered by insurance

Professional, caring, warm, honest, direct, informative. Broke things down and spoke in a way we could understand. He also made phone calls after every cycle good or bad to touch base. He seemed genuinely happy on the news of my successful pregnancy thanks to his help. Was very invested in my care. We will forever be thankful for his service to our family. Not a days goes by when I don't think about the miracle of my twins and the many ways that they complete our family w 3 kids.

I have chosen not to talk about my treatment with others, which makes that unlikely. With that said, I think I would say to any fertility patients to prepare for an emotional journey that may not be successful. I feel very lucky that my treatment worked because the stats/numbers were not on my side.

I really don't remember specifics. I will say that I had a miscarriage at 12 weeks with one cycle and had success with the very next cycle. The first 2 cycles resulted in adjustments that led to success with the 3rd and 4th cycles of IVF.

There were plenty of costs due to some insurance changes, but we changed our insurance so that the more expensive IVF procedures were covered.

Dr. Pauli came highly recommended to us after a not so positive experience with another doctor at another clinic. Upon our first meeting he put our minds at ease with his overall knowledge and handling of our case. He treated us with care and respect, took the time to answer any questions we had, and explained what our other doctor never took the time to review with us. He is extremely educated in the fertility process, so it can come off as cold at first but after working with him for several months we appreciated his level of in depth explanation and his approach to our case. Not only would I recommend him to my best friend, I did!

Understand he may not come off as the warmest doctor in the practice, but he is highly skilled, and takes you as his patient into consideration with all of his plans.

It was efficient and quick

Most of my care was covered under my health insurance plan

I have two beautiful children. We had heartbreak along the way, but could not be happier now. Dr. Pauli is a huge part of our happiness. I highly recommend him and his team. He explained the steps and gave us options. Dr. Pauli was on our side from the beginning. He spent a great deal of time arguing our case to the insurance company, who wanted more control of our procedures. After our first round of IVF (which failed) he reached out to his colleagues for advice, as he was unsure of how to handle our rarely seen situation. Upon their advice, he changed the protocol - which ultimately led to success!

There are lots of appointments to attend. Make sure your schedule can be flexible.

Our first IVF attempt was negative. It resulted with a condition Dr. Pauli had knew little about. (We found VERY few resources about it on the internet). He then changed the protocol. We were successful with the change!

Insurance covered all costs.

Dr Pauli was always wiling to discuss the process with us, including having materials for frequently asked questions and drawing out some answers to help us understand better. He obviously thoroughly reviewed our paperwork before we showed up and was always prepared.

Don't let anyone tell you that you just need to remain calm. That's BS. Also be prepared to not find out why you are having issues with miscarriages and conceiving....unfortunately unexplained infertility is common.

Just my copay of $300....Dr Pauli's team handled the rest with insurance.

He clearly cares about his patients and doing his job well. He always fully explains the procedures and gave an frank assessment of the likelihood of success. I appreciate that he was never alarmist or made attempts to offer cultural/social speculations about our infertility and often offered a more optimistic assessment of our challenges than what I was personally worried about.

You do not actually see/talk to the doctor as often as you might like.

We were covered by health insurance

Discussed treatment in detail, answered all questions honestly. He called on several occasions to discuss results over the phone to communicate immediately without waiting for my next appointment. Went through the process step by step. Worked out treatments when i responded slowly.

Ask questions, he will answer them

He increased my meds as needed based on bloodwork and ultrasounds to get the best response for my cycles.

Most of mine was covered by insurance. I only had deductibles, a few copays and cost of pgs testing to cover on my own

Insurance only allowed one embryo transfer at a time,