Shahryar K. Kavoussi

It does seem like treatments are rather cookie cutter for most patients to start. But, that's the nature of infertility - often the first cycle is more diagnostic than anything. Dr. Kavoussi has always been available, caring, and never insulted when I express concern for wanting to change my treatment protocol.

Be an advocate for your own care. Dr. Kavoussi is great, but he's also human. If you have a concern about something, then speak up. He will listen.

First retrieval was 150 gonal f and 75 menopur. Second was 225 gonal f and 75 menopur. ICSI/PGS/FET. Due to PCOS, we have always been able to retrieve a lot of eggs. Recurrent pregnancy loss is the biggest factor we are facing with treatment.

IUI is about $500. IVF with ICSI and biopsi was about 12k. SIS $500. Meds and genetic testing are more (~4k and 2k).

He is willing to transfer more than one euploid embryo, but is open about the risks of multiples.

Dr. S. Kavoussi is a very compassionate doctor. He really takes the time to listen and explain everything. He allows us to make our own decisions after he educates us. My favorite phrase he says is "I'm just trying to get you a baby I don't care how it happens." He is very knowledgeable and a great listener. I had to have a surgical procedure and I was really nervous as I had never had any hospitalizations or surgeries before. He reassured me all the way through it. On the day of the procedure (at a surgery center) I was a nervous wreck until he walked in the room. I can't sing his praises enough. I will refer everyone I know who lives in this area and needs his services to him.

Relax you are in great hands!!

Dr, Kavoussi is a caring man with a huge heart. He is clearly committed to the success of every patient who walks through the door. He is kind with his approach, but he doesn't sugar coat things. And he knows what he is doing. Not only does he have decades of experience, but he stays current on all research. I could easily discuss papers with him that had just been published within several months. I felt like I had a great coach, leading the team to victory. And although he was not at every appointment, if I wanted to see him, I could. He didn't hide in an ivory tower - he was down in the trenches with you.

Do your research beforehand and come with lots of questions because he wants to answer them. Take charge of your care, Dr. SK will not be offended, he will appreciate your dedicated interest in your own protocol.

Since our only issue is male factor (that cannot be reversed with medication) we had to do a full IVF cycle. Although, Dr. PK did allow us to try clomid for 3 months, just in case, which we appreciated. My hormonal values all showed normal for my age, with my AMH above average. We initially tried starting me on birth control, but both months I ovulated anyway. We decided that birth control was not a viable option for me. Additionally, we found polyps at a saline ultrasound and paused our start date to remove them. My stim protocol was moderately aggressive for my values, due to my age (37). We did have to adjust my use of ganirelix (started it early) because my body was wanting to ovulate sooner than my eggs would be ready. We also extended my stimulation shots by two days. At retrieval we got 14 eggs, but only 6 of them were mature. If we ever need to do another retrieval, we will use a double trigger shot.

I could go in for monitoring when it was convenient for me - as long as it was on the day I needed to go.

~$3,500 for a Micr-TESE, ~$9,000 for egg retrieval and fresh transfer,~$3000 for a frozen transfer, $250 each for post positive beta ultrasounds - no medications included. If things were "medical" they were billed to my insurance so I paid as little as possible.

Dr. Kavoussi says it is our decision. For women over 35 he recommends two, but ultimately it was our call.

Dr Kavoussi was very kind hearted, passionate about his job, but treated me like I was someone he truly cared to help. I was not just another person walking through his door. I could ask him any question and he had a great answer for each and everyone. I was sad to leave when I did, but also so happy that he was able to get me to the point of graduating from his clinic.

Absolutely ask questions. He is extremely knowlegable and he wants you to ask away so you are fully aware of what to expect.

I tried a few monitored medicated cycles with attempting to get pregnant naturally. With that being unsuccessful, we finally got my husband on board to do a sample test. It turns out that not only my PCOS was causing a hard time, but so was his agglutination. He completed a second test to confirm agglutination. Once we confirmed that, Dr. Kavoussi said that we were a good candidate for IUI. We jumped right in with a medicated cycle of 2.5mg of Femara. We then triggered with Ovidrel when my follicles were 20mm. I had 2 ready to go. Then 24 hours later, we did our IUI. 14 days later, it was negative. The second IUI was the same, except we did not do Ovidrel. I ovulated on my own with 22mm follicles due to my husband being out of town earlier. Thankfully he came home the night before IUI and it turned out that it was great timing! We got our positive pregnancy test 14 days post IUI.

Each ultrasound cost around $180. IUI was around $450. Thankfully my insurance covered fertility treatments, so I believe these are prior to insurance.

We did not do embryo transfer, so I am unsure.

Dr. Kavoussi is the kindest doctor I've ever seen as a patient. He combines compassion and personal attention with extreme attention to detail and as much or as little medical information/explanation as you want--which in our case was a lot. He always took time to listen, answer questions, draw diagrams if need be, and explain risks. We underwent 7 medicated cycles (6 TI, 1 IUI), and achieved two pregnancies from two of them. Unfortunately my DOR and poor egg quality led to two trisomy-related losses. The office could not have been kinder to us during these difficult times. I had two hysteroscopic surgeries along the way, which Dr. K personally performed. Again, his level of care, detail, and bedside manner were unmatched. After our second loss, we went on to IVF with PGS. Our first antagonist cycle produced 6 eggs, all of which fertilized abnormally. Our second Microdose Lupron cycle produced 10 eggs and 2 blastocysts, both of which came back PGS Abnormal. We were not willing to undergo another OE cycle, and we appreciate and respect that the doctor was honest and realistic about our statistical chances. He always called personally with bad news. He always called personally to congratulate good news. He always called personally to follow up and check in after a loss. He is a truly good man. We ultimately pursued DE overseas, as we could not afford it in the US. Dr. Kavoussi and his practice were still with us every step of the way, supporting our choice and providing local monitoring care. When we were successful (currently in 2nd trimester) with our first DE transfer, they were all over the moon overjoyed for us. Even though we never achieved a healthy take-home baby with this practice, we would not change a thing, and are so very grateful for them.

Morning appointments are only at Westlake. Afternoon appointments are only at James Casey. Sometimes there can be a wait, as with many offices. If you have an appointment early in the AM, you'll be seen quickly. Come with questions: they'll answer them.

Medicated cycles: 7.5 letrazole with ovridel trigger shot--each time, the plan was three cycles of this before moving on to more aggressive approach, and each time we got pregnant on the 3rd cycle. (The 1st one was a throw-away, as my HSG came back with polyps in the middle of that cycle, requiring surgery before trying again.) IVF with ICSI #1: 300 gonal-f, 75 menopur, cetrotide antagonist cycle. This was the recommended 1st place to start based on my AMH. (They wouldn't have done a long lupron cycle.) 6 mature eggs. All fertilized abnormally. IVF with ICSI #2: 300 gonal-f, 150 menopur, microdose lupron -- all in divided doses 2x a day. 10 eggs, 2 mature, both fertilized and made it to blast. Both PGS abnormal.

It certainly isn't cheap, but this is infertility: It's expensive. I was very fortunate to have my insurance change and cover infertility coverage part-way through my treatment--which enabled us to do IVF. From my perspective, costs were average for this city. Self-pay costs ARE cheaper than insured/negotiated costs.

If we had had embryos of my own eggs to transfer, Dr. K would have supported multiple transfer. However, when we discussed donor eggs, he was very realistic about the chances of multiples, and supported our choice to do eSET.

We had previously been with a doctor that couldn’t care less about us. We were just money to him. When we switched clinics we instantly knew we’d made the right choice. Kavoussi was present at every appointment in some way. Always remembering intimate details of our life. He took all the time in the world with us and never made us feel rushed or like he wanted to leave. He made me feel seen, heard, and understood. Our first cycle with him gave us our son, and I will always be forever grateful. We have been to him several times in the last 4 years for a sibling, and while it was not in the cards for us (my eggs to a turn), he was incredible during every step. When 2 of our cycles were canceled or didn’t make it to transfer, he called me himself to give me the news. He took time on his day off to meet with us and go over the cycles. And was available to us when we needed him. He also performed my endometriosis surgery and took such amazing care of me, checking on me himself the next day and then meeting me to go over his findings, something my previous doctor didn’t do. He truly is a kind kind man, who has our best interest at heart. He will not push for extra treatments and will give you the straight answer every time.

He is the best thing that’s happened for us during this journey. You’ll receive kindness, compassion, and all the information you need.

When we first met with him, he looked over our past records and immediately told me we would no longer be doing surgery for endometriosis. He felt like being aggressive would not help and that going straight to IVF would give us our best chances. We did a fresh cycle using Gonal F and Lupron. We were very aggressive with medication and I stimmed incredibly well that cycle. We retrieved 17 egg, and transferred 3 beautiful embryos which gave us our son. The other 2 embryos we had left didn’t survive the freezing process. Since I gave birth to my son, we have gone back for 2 more cycles with a similar protocol. Unfortunately my eggs declined very badly, and after the second cycle ending in not being able to transfer (I didn’t even have 1 healthy egg at retrieval), he told us that egg donation may be our best bet at this point. He advised us that he didn’t want to keep putting me through this, and it wasn’t looking good for my own eggs. Since then, my endometriosis went from bad to worse and I had to get a large cyst removed. He performed the surgery for me and did a fantastic job of leaving me pain free and almost recovered in a few days. In the past with other doctors, that surgery was incredibly difficult to recover from. I don’t know how he did it, but he was very delicate! I’m now in the process of an embryo adoption/donation, and he’s handling half of my care. He’s been wonderful and incredibly invested in my journey, even as I work with a clinic out of state.

I think after all was said and done, it was 15-17k per cycle including medication. But we did receive discounts after our first cycle for returning.

He does this on a case by case basis. When we came in he was a big proponent for only transferring 1 to 2 at the most. But with my history, the endometriosis, and the quality of embryos we had, he changed the course and felt comfortable advising us to use the 3 we had. He informed us of all the risks and had a ton of information that pertained to my individual situation, to help us decide. Ultimately it was up to us to make the choice.

Dr. Kavoussi had great bedside manner, however, after two failed cycles, was reluctant to make any significant changes to protocol in order to hopefully achieve successful results. When inquiring about further testing, he was not open to such and encouraged to continue the same protocol and hope for success. If you're lucky to have IVF be successful on a first cycle, you will be in good hands here. However, if you'd like to maximize your chance for success and decrease the amount of money, and emotional and physical stress, I'd suggest to go elsewhere.

Be prepared for a lengthy amount of time and multiple treatment cycles to hopefully achieve a successful pregnancy.

Gonal F and Menopur were the gold standard for stim medications. Standard dosage was 225IU OF Gonal F and 75IU of Menopur.

Clinical fee: $3,990 IVF Lab fee: $5,850 Total IVF cycle fee: $9,840 Embryo cryopreservation: $775 Additional charges: ICSI (</=10 eggs): $1,300 ICSI (>10 eggs): $1,800 TESE: $1,600 SIS: $500 Costs due not include medication costs, which can be $3,000-$6,000 depending on protocol. Blood tests are additional charges, sometimes covered by insurance. FET Cycle: Clinical Fee: $1,490 West lake IVF Lab fee: $1,890 Total fees: $3,380 Consults and prenatal sonograms are not included in above costs.

Dr. Kavoussi recommended transferring 2 blastocysts. We were in agreement with this plan, however neither resulted in a positive pregnancy test.

Not only was I just another patient, he also denied me an IUI cycle because I produced too many eggs. I understand the risks associated but he sat me down and had the most inauthentic conversation with me. He obviously didn't truly understand what I was feeling and just cared about the risks it posed for him not me. He also never asked to see my radiology scans of my HSG, if he had, he would have seen that I had a uterine septum that needed to be surgically removed. That is what my current Doctor did during my first consult. She also found a polyp in my uterus as well. She believes one if not both of these could be causing our fertility issues. IUI wasn't going to work and IVF probably wouldn't have either with these issues and I would have continued to pay DR K with no chance of conception.

Expect to be treated as a number. Just another patient treated the same way. He won't be interested in digging deeper.

5 mg of Femara- produced too many eggs 4-5 follicles Down to half 2.5 mg of Femara- still produced 3 follicles. Ovidrel with both cycles No pregnancies

My insurance covered nothing so we paid out of pocket for everything. I believe we paid about $565 for IUI and then $100 for Ovidrel and $5 for Femara. His consult fee was about $150

I had a really bad experience with my first fertility doctor and moving to this clinic was the best decision I made regarding treatment. Someone always answered my phone calls and was able to answer questions immediatly, or have an answer from the doctor within a few short hours. They take time to discuss everything with you. We becamse so close with the staff that when we graduated to our OB/GYN during the pregnancy, they were crying in celebration alongside with us. They honestly care and it shows.

Don't overthink or second guess, go ahead and schedule a consultation.

I did two IUI's with Dr. K. I apologize, but do not remember exact protocols. We did injections, clomid, and a trigger shot. My son is now two. I 100% followed the protocol that was given to my husband and I by Dr. K. He is an expert and knows what he is doing.

We felt that Dr. K was the right choice after our first meeting. His brother Parvis performed the successful sperm retrieval and referred us. He was kind and took our concerns to heart. I was only 26 when we started the process and had no concerns about my fertility but had to perform IVF because of male factor issues. He made us feel confident that we had a great chance to conceive and he did not foresee any problems and that is was up to God. So when the first cycle failed we felt safe continuing to see him to find success. He did not change our cycle much the 2nd round and it also was unsuccessful. He did change the cycle protocol the 3rd round but it also was unsuccessful. Looking back, I wish he had done some testing to see if there was an underlying issue for our lack of success. We spent $42K for 3 failed cycles.

If you have concerns, ask many questions and ask for additional testing if you feel it nescessary.

Cycle 1 - 26 years old with healthy eggs. He chose a conservative route to avoid overstimulation of the ovaries due to my age and overall great fertility. 30 days contraceptive pill 11 days 10 IU Lupron 8 days 5 IU Lupron, 75 IU Menopur, 225 IU Follistim 4 Uterine Ultrasounds 10000 IU Pregnyl HCG shot Egg Retrival for Fresh Transfer (3 eggs, 1 valid embryo at 3 days) Vivelle .1 mg patch and Pregesterone suppositories for 2 weeks 3 day Embryo Transfer (one embryo) Negative Test after 2 weeks Cycle 2 - 27 years old. He felt that the 1st negative cycle was just part of nature and that the protocol was effective for a 2nd cycle. 30 days contraceptive pill 11 days 10 IU Lupron 8 days 5 IU Lupron, 75 IU Menopur, 225 IU Follistim 4 Uterine Ultrasounds 10000 IU Pregnyl HCG shot Egg Retrival for Fresh Transfer Vivelle .1 mg patch and Pregesterone suppositories for 2 weeks 3 day Embryo Transfer (2 embryo) Negative Cycle 3- 28 years old with some finished egg reserve. He increased my stimulant hormones because of the egg reserve. We transferred 3 embryos to increase chances of pregnancy. 30 days contraceptive pill 8 days 75 IU Menopur and 300 IU Bravelle 4 Uterine Ultrasounds 10000 IU Ganerelix HCG shot Egg Retrival for Fresh Transfer Vivelle .1 mg patch and Pregesterone suppositories for 2 weeks 3 day Embryo Transfer (3 embryos) Negative Test after 2 weeks

Cycle 1 - $3590 Physician Fee, $5350 Lab Fee, $1000 ISCI, $800 Meds Cycle 2 - $1020 Physician Fee, $5975 Lab + ISCI, $1200 Meds Cycle 3 - $1134 Physician Fee, $5980 Lab Fee + ISCI + Assisted Hatching, $3500 Meds

He gave us statistics for his office on singleton, twins and triplets based on how many embryos transferred. He explained embryo grading. He did not feel it was appropriate in most cases to transfer more than 2 embryos.

He was a kind, comprehensive, well-informed doctor. He went through all the pros and cons, and showed great compassion. The only con I'd say is he was very confident, and unfortunately our journey resulted in being the .01% more often than I'd like. That said I'd say that had to do more with the realities of infertility, not our doctor, and in the end we have our healthy son and a few frozen embryos. I trust him and his practice, and we will return again.

Don't hesitate to ask questions, he will answer them and wants you to feel as comfortable as possible in this process.

My protocol didn't result in any negative side effects for me.

Got an easy to understand breakdown of costs, medications, procedures, etc.

For our first cycle they had strong feelings for 2 embryos, but respected that I wanted to do a single embryo transfer. In all discussions about future cycles, they have been supportive of doing a single transfer as well.

Dr. K always made us feel welcome. He explained each cycle fully and was genuinely disappointed when the cycles were negative. My only complaint would be the lack of investigation into why the cycles failed. He always attributed it to the average success rates and didn't do any more investigation as to why our embryos never implanted.

Ask what is game plan is if the cycle doesn't work. What will you do differently the subsequent cycles?

Dr. Kavoussi is very well informed and seems to work hard to keep up with the literature and the latest studies. He is a caring man and takes a great deal of time to help patients understand the process and make decisions regarding their care.

Do not be afraid to ask questions, even if they seem dumb.

He is wonderful. He prays for us! And when things go wrong he is always there to talk and give hugs

Waiting room times are short, staff is amazing, and facility super clean.

Don't know the name of first protocol but second one worked. Micro dose Lupron got me to retrieval! He was unsure we would make it to the end but stuck with us and we did. Had to freeze all but that's because of a fibroid I have.

Dr. K was great from all angles. He's quite conservative and aims for positive outcomes but generally will avoid more extreme procedures.

Know that while very compassionate that he is quite conservative in his treatment.

Kind and communication is great with myself and my obgyn. He goes the extra mile! He has vast knowledge in fertility. He explains in great details and follows up well! I feel well taken care of, just frustrated with the financial piece.

Since I’m a nurse, I refer to him all the time. I tell people he is kind and thorough.

With my amh 0.36 and still in my 30’s I would still have viable eggs with ovulation. I was diagnosed with pcos and I just make cyst. Trying metformin helped with the higher doses of clomid.

11,000 bilateral tubal reversal Other clomid and hcg injections and ultrasounds several thousand.

No, can not afford ivf.

We had a great experience with Dr. Kavoussi and his staff. He has an extremely optimistic disposition, so that helps to feel confident that we would have a good outcome. He explained things thoroughly and helped us understand why we were doing what we were doing.

Don’t be afraid to ask him questions

Roughly $12k for the cycle without meds, and those were about $4k

Doctor had a preference for single embryo, but was ok with a double embryo transfer which is what we did