Thomas Fisher

Dr. Fisher is incredibly knowledgable and patient making him very easy and great to work with. I saw Dr. Fisher about freezing eggs and embryos and from the onset always felt like he shared his knowledge of fertility which allowed me to make educated decisions. I was 32 turning 33 when I first saw Dr. Fisher about egg freezing. I know I want kids in the future and therefore was contemplating egg freezing. Dr. Fisher never made me feel like he was selling the idea of egg freezing and rather me provided with facts and data. It was because of this that I chose to do egg freezing with Dr. Fisher. There are some Drs. who gave me the impression that were selling me the service as it was must do however Dr. Fisher never did that. He kept to facts and when asked his opinion to stuck to facts such as 'typically egg quality is like x during y, and then will be z during a". This made me feel like I wasn't getting sold something but rather had a Dr. who kept to the science which I greatly appreciate. I could also get a sense that he cared for his patients and he always took the time to answer questions. I left our initial consultation feeling like I had a better idea of female fertility and reasons why but did not feel like I had to freeze my eggs at that exact moment. I chose to however for personal reasons of knowing that if I was going to in the future anyway why not now especially having found a Dr. i liked working with. During my egg freezing Dr. Fisher always explained what was happening and provided next steps so I knew what to expect, what was happening and why, and what was to come which created a sense of trust and removed much anxiety which is important as a patient. Dr. Fisher monitored my progress throughout my egg freezing process.

Don't hesitate to ask questions

My treatment strategies and protocol was to track my ovulation as I had gone off birth control (my own choice) ahead of egg freezing. Since my amh levels came back normal (higher than average) and my initial consultation showed regular follicle count I was to use gonal f and menopur during the monitoring phase as we began the egg freezing process. Right from the beginning I was told at what time of day to test for ovulation and to immediately call/advise the clinic when I got a positive. Since this was during Covid the clinic also did covid tests ahead of treatment which I greatly appreciated given I was paying for this myself. Once I got a positive they booked me an appointment for a blood draw (I think the day after possibly) and since blood draws were in the morning they could get results by afternoon and provide us with our protocol. I was then given clear instructions both via a calendar, a web portal and a phone call by a nurse of what to do for the next few days. I started off with gonal f and menopur and would go in every 2-3 days for monitoring to begin with. Closer to my retrieval I went in every day and my dosage changed a little which again was communicated via a shared calendar, a web portal, and a phone call. They also did injection trainings ahead of this so I felt as well prepared as i could have been having never injected myself before. On the day of my trigger, because one of hormones was high I did not have to use two medications to trigger but one. The nurse had called me the day before to give me the exact time I was going to trigger and to walk me through exactly which medications to use, how to do the dosage and was very clear on the importance of timing. They recommended getting the injections prepped a little before the actual trigger keeping in mind the need to refrigerate one of the medications. The anesthesiologist also called me the early evening before the retrieval so I knew waht to do in terms of food and drink.

Egg freezing I believe was $8750 for my first round and then I think my second round I got a 10% discount. Embryo freezing (I did one round) was approximately $16,000-$17,000 for one round. In addition, each round required medication which cost around $3000-$4000

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Dr Fisher truly loves his job and it shows! He always comes in with a positive upbeat attitude. He can recite a study to back any of his decisions. He allowed me to be an advocate for myself and helped me navigate my questions and concerns and would make changes based on our discussions. He was patient when I had ten million questions and wanted to know why for everything. One of the things that made me respect him the most, however, was how highly his staff talked about him. They would tell me how they learned so much from him from his in-service classes he taught weekly. How he really wanted them to have the knowledge and love what they did, and he did so in a fun and interesting way. All of that could be seen as a patient as well. We could not have been in better hands!

Don’t be afraid to ask questions.

I’m not sure if it was due to the pandemic and trying to keep people from waiting in the waiting room together, but I never saw any other patients in the Danville or Oakland office for monitoring. I was always 5-10 minutes early and in my car about 5-10 minutes after my appointment. I was seen quickly with all my questions answered. And not once did I feel rushed to get in or to get out. I was monitored twice by other doctors because it was Dr Fisher’s day off. I must say, his way of explaining the monitoring process and giving exact detail was much better than the other two. The other two told me to ask the nurse when they called in the evening. It wasn’t rude, just that it was the nurses job.

Candidly, when I first approached Spring, I wanted a female doctor but the earliest appointment was with Dr.Fisher. Although initially hesitant, since day 1 of seeing him, I felt very comfortable and at ease. He opened up and shared his own story of how him and his wife also went through their own fertility journey. I think that makes him a lot more relatable and empathetic to his patient's journey. He was polite, respectful, always greeted me with a smile, was patient with all my questions and never made the appointments feel rushed. He was always thorough in explaining procedures and next steps, comprehensive with his exams of follicle sizes, concerns and what to expect. I really appreciated the attentive care provided whether it was via email, in person or follow up calls after certain procedures to update me on progress. I remember the day of my transfer, he rushed over to the SF clinic all the way from Danville just to make sure he was the one doing the transfer himself. That definitely re-assured me, made me more confident that the chance of success would be high and overall just put me in a more positive state of mind. We are now a month away from meeting our miracle baby and I am immensely grateful to Dr.Fisher and the Spring team. Overall, would recommend Dr.Fisher to any of my friends or family members looking for fertility treatment. Could not have asked for a better experience.

Come prepared with questions during your appointments. Dr.Fisher is thorough with talking through the treatment but also always leaves room for any questions you might have.

I went through 2 IVF cycles and 1 frozen embryo transfer with Dr. Fisher. For both retrievals, I was taking the following supplements: prenatal, Vitamin D, Fish Oil, and Q10. My diagnosis was unexplained infertility as I had done prior exams and blood work at another clinic before Spring. In my first cycle, my antral follicle count was only 9-10. I started off with taking Estrace, got a bleed, went in for a baseline ultrasound and then started ​225IU of Gonal F and then 150IU for Menopur. The dosage of Gonal and Menopur were dropped as they doctor tracked my bloodwork and the size and growth of my follicles every few days to try to get them to all grow at the same pace. I then started Cetrotide in conjuction with Menopur and Gonal F and eventually triggered with Novarel and Lupron. For my first retrieval, my body only yielded 8 eggs, 1 follicle was empty and only 1 egg was mature. That was devastating news and I remember crying for a long time thinking the odds of a healthy embryo was likely going to be none after the drop off from Day 3 to Day 5 to genetic testing. Dr.Fisher and the care team definitely set proper expectations and were also quite comforting in talking through alternatives for a second round. Miraculously, that one mature egg actually resulted in a 6AA Day5 Euploid embryo. Given that my husband and I wanted at least 2 kids, Dr. Fisher also recommended having at least 2 healthy embryos per potentially viable pregnancy so we decided to pursue a second round of IVF egg retrieval before moving forward with a transfer. In my second IVF cycle: I started off with Aygestin, had around 11 antral follicles, started same dosage of ​225IU of Gonal F and then 150IU for Menopur which was adjusted slightly after every ultrasound and blood test appointment. Then started Cetrotide and triggered again with Lupron and Novarel. This time, 11 eggs were retrieved, 8 mature. I ended up with 4 that survived until Day 5 and then 3 that turned out to be Euploids. For my frozen embryo transfer, I started off with Aygestin pills (this was mostly because we were thinking of potentially doing a 3rd cycle of IVF depending on results of the embryo genetic testing). However, once we confirmed we were moving forward with FET, I was put on Letrozole 5mg for 5 days. After a few monitoring visits, the doctor asked me to start Gonal F at 150IU. As monitoring progressed, I was then instructed to take Ovidrel at 250mcg and take Medrol 16mg pills for 5 days. I went back in for a progesterone level check and then was confirmed for transfer. Transfer was successful and I am now 8 months pregnant!

Although most people including myself go in thinking we will perhaps only need one IVF cycle, it's always good to know your options and what pricing will look like if you needed subsequent cycles. Accounting for price of medication is also something that needs to be factored in. Alto Pharmacy was superb in terms of convenience of delivering the medication to my doorstep. Our cost was ~$50K for 2 IVF cycles and 1 FET.

Dr. Fisher is the best doctor I've ever worked with. He and his team has been with us through our 1+ year long fertility journey and we could not have asked for a better team. From the get go, he took the time to educate us, carefully listen to our story & goals, and created a plan for us. He's honest, realistic, funny, smart, detail-oriented, caring, all the things you'd wish for as a doctor during such vulnerable times.

Just be honest with what you want and come prepared for any questions. He was so patient with all my questions and always took the time to walk through everything with me.

We went with the mid-luteal protocol. For medications, was as on the typical injections, FSH, Menopur, Cetrotide and I can't remember what I used for trigger. For the transfer, we went with natural/letrozole protocol as I was able to ovulate on my own and my progesterone levels were normal.

My company insurance covered most of it and I paid about 1500 out of pocket. I believe if I did not have insurance, it would be 18k for the injections + trigger and 6-7k for transfer.

We went wit single embryo transfer as it was the safest and lowest risk.

Dr. Fisher always took the time to listen to my concerns, answered my questions in the clearest way possible, he was always realistic and honest about our case, no sugarcoating but always kind and respectful. During every appointment he always had the best attitude, his bedside manner was spotless and his communication very straightforward. IVF can be a very complex process but at every visit Dr Fisher always made sure I understood every decision about my treatment, what the next steps would be and why, I always left his office at ease and confident I was getting the best care for my case. Dr Fisher's demeanor has the right mix of science, professionalism, compassion and heart and I feel truly fortunate to have had him as my fertility Doctor!

Please ask him all the questions and share every concern you have, he will always listen and give you an honest and clear answer.

For my egg retrieval: I was on Menopur, Follistim, Ganirelix, leuprolide and triggered with pregnyl (cannot remember the doses as these were adjusted) For my transfer: medrol and ovidrel. My FET was successful and I am now pregnant at 42-years-old.

Egg retrieval and monitoring: $18000, Embryo transfer $4700, Medications: $4000.

We did single embryo transfer (safer for my age and higher chances of live birth)

Dr. Fisher is an excellent provider, he consistently demonstrated superior skills in patient care and it was clear that he is committed to delivering evidence-based care with a focus on what works for each individual client.

He's very responsive, ask all your questions!

I did a luteal phase agonist protocol for egg retrieval - my AFC was 8, we ended up retrieving 11 eggs, 10 fertilized and 6 made it to blast. Dr. Fisher really paid close attention to how I was responding and changed the doses to get me to our goal.

We have insurance coverage that covered the vast majority of our costs. Spring is in-network for our insurance. We paid somewhere around $8,000 total for everything associated with IVF at Spring.

I only wanted one transferred, and he only wanted to transfer one, so we didn't really discuss. I did have all good quality (AA) blasts so the concern about transferring one was less present with me.

I saw Dr. Fisher during the pandemic and given the safety precautions the office took I was not always able to have him as my attending doctor. Dr. Fisher made sure to follow along with my care team and I never felt as though he was not fully invested in my treatment. I wish I was able to see him more often, but appreciated the safety protocols they had in place.

Always ask every question you have, Dr. Fisher is 100% invested in his work and will always have an answer for you (or find one). His excitement for the field of ART really put me at ease and helped me feel I was in good hands.

Given my scenario, Dr. Fisher recommend we try IVF first instead of attempting IUI’s or other interventions. We did a freeze all cycle as my age and reaction to the medications put me at higher risk for OHSS. He let me make the decision for a fresh or frozen transfer just a few days before the retrieval to give me the most control over my options.

For 1 cycle of IVF with ICSI and a single embryo transfer my out of pocket costs were $24,600. This included meds.

Dr. Fisher was the second reproductive endocrinologist I treated with over the course of about a year. I came to him very disheartened by my prior experience - both in the results and the relationship with my prior clinic and provider. Dr. Fisher was very different in every aspect from my prior experience. From the initial visit, he went through different protocols we could try during this egg retrieval to see if we could get better results, he took significant time explaining his thinking, he spent an enormous amount of time explaining medicine to me and assuring me when I was nervous. Dr. Fisher truly cares about his patients, I have not encountered this kind of care routinely and I will always be appreciative.

Don't be afraid to ask questions, Dr. Fisher will take the time to explain until you understand.

Mid-luteal protocol. Apparently Spring has had a lot of success with this protocol, I had not heard of it prior to my treatment at this clinic, and I have to say, I am very happy with it. At the prior clinic I treated with, I underwent the antagonist protocol and the same amount of eggs were retrieved as at Spring (in the 20s). But the prior clinic, I only ended up with one embryo after PGS testing (3 were tested but only one was euploid. At Spring, 8 embryos made it to day 5 and of those, five were euploid.

All of my costs were unfortunately out-of-pocket as Spring does not accept United Healthcare. For the retrieval, it was approximately $18,000. For transfer, approximately $5-$6,000.

Dr. Fisher strongly recommended single embryo transfer and I agreed.

Dr. Fisher was very thoughtful. He checked in on me after every procedure and was a great source of expert guidance and moral support. I had diminished ovarian reserve, that caused me a lot of anxiety and confusion. Dr. Fisher made himself available to answer questions and ease my mind. His ability to cite studies offhead, combined with his humor and kindness really helped build trust and confidence. I am a black woman, and it’s important to note that I didn’t worry about whether Dr. Fisher treated me differently than any other patients. I really felt that he understood and empathized with me and that he was committed to optimizing our results. With his help, I froze 19 eggs. Given my ovarian reserve, this is more than twice what we initially thought I would be able to freeze. This was a huge victory. When doing ultrasounds, he took his time to be sure no eggs were missed. When you don’t have a lot to work with, it’s important. I also note that he was kind and had good rapport with nurses and support staff. You get the sense that he tries to be a good person in all areas of his life.

Go see him!

I have really good insurance- not sure if costs

Very attentive and caring. He went through the IVF process with his wife and he not only has the medical understanding of he process but also how a patient might feel physically/medically. His friendly personality made me feel very comfortable every time I went in.

There are no stupid questions so ask away!

[1ST CYCLE: 24 retrieved, 21 mature] Started the shots with the period, progesterone priming for 10 days before the period. Started with 150IU Gonal f/ 150IU Menopur. It went down to 75 IU each eventually & I added Cetrotide on day 5. Lupron only trigger to prevent OHSS. Triggered on day 11, and vaginal Cabergoline insertion for 8 days since the trigger day. [2ND CYCLE: 42 retrieved, 33 mature] Mid-luteal protocol to see if we can get the eggs grow a little tighter. Started the shots 1 month after the retrieval date. Started priming 5 days after positive ovulation test. Started with 150IU Gonal f/ 150IU Menopur. It went down to 100IU Gonal f/ 75 IU Menopur eventually & I added Cetrotide on day 6. Lupron only trigger to prevent OHSS. Triggered on day 11, and vaginal Cabergoline insertion for 8 days since the trigger day. Was back on Cetrotide again for 3 days after ER to minimize OHSS risk.

I had fertility coverage through work and the care team had a good understanding of my coverage (Progyny)

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Absurdly excellent bedside manner. He went out of his way to personally perform the second transfer and it meant the world to me (travelled into the clinic in the city on an afternoon he would normally have at a different clinic). He was always direct, explained things well, asked sensitive questions, etc. I have been incredibly happy with his care—especially after some experiences of my friends with other providers at Spring not being this excellent. I would recommend Dr. Fisher without reservation.

Don’t be afraid to ask questions. Even after appointments, I would think of question and email him or his staff and they would get back to me really quickly.

IUI was about $1600 which (understandably) doesn’t include ultrasounds (another $450 per ultrasound).

He highly recommend the eSET. No objection from us.

Dr. Fisher has been very supportive through all of the ups and downs in my health and getting us through our first IVF cycle. Even though our first egg retrieval didnt result in any successful embryos, Dr. Fisher has been in contact with us personally to discuss options for the future, to lend his condolences to us, and to check in our physical, emotional and mental well being after a failed cycle. He has always been very open, honest and up front with us about our fertility and the hurdles we have with my diagnosis of endometriosis and adenomyosis. Though we have had many difficult and tear-filled conversations, we know that he has our best interest in mind, he understands that we are willing to do any and everything we need to do in order to make it to the phase when we do have an embryo to freeze, and he is supporting us along the way. He has been willing to have phone consultations with us since we live six hours from the clinic, which has been extremely helpful.

If you are open, up front and honest with him, and voice your opinions and concerns, he will return the favor to you.

We had an AM regimen of Lupron and Menopur, and a PM regimen of Lupron and Follistim, followed by a baby aspirin and a pre-natal vitamin. Because i have a low AMH and endometriosis and have had many pelvic surgeries, we knew that my total eggs retrieved would be low. We were pleasantly surprised when we retrieved 7 eggs, 5 mature and 3 fertilized however none made it to the day six blastocyst stage unexpectedly. If we move forward with a second round, we are taking 3 mg of melatonin along with 600 mg of CoQ10 to see if this helps with my egg quality.

We went in at our scheduled appointment time and the office ran like a well oiled machine: blood draw, ultrasound, schedule the following appointment, they would call later in the day to let us know our blood test results and if we needed to change any of our dosing instructions. it went very well.

STIM medications were roughly $5,000; IVF cycle part 1 for the ultrasounds, bloodwork, egg retrieval, embryology and then storing of any embryos was almost $16,000; anesthesia for the egg retrieval was roughly $600. If we would have had any embryos, there would have been additional fees for testing of the embryos, testing of my uterus before transfer, and then everything involved with transfer as well and other medications to prepare for transfer as well.

We didn't make it to this step in the process, so I don't have an answer for this question.

Dr. Fisher is a great reproductive endocrinologist, knowledgeable and friendly. Communicating with his staff on next steps was a little vague and I felt like in person visits were the best way to get information from the rude coordinator and financial staff.

Make sure you stay the second half of the initial consult visit to meet with the financial coordinator which takes a half hour. We could only stay the first hour and felt like we were pretty lost not having finished the appointment knowing what next steps are.

The fertility testing for IVF is thorough and all parts are standard for all patients at this clinic. It includes lab testing for ovarian reserve including clomiphene challenge, sonohystogram, TVUS, transfer trial, and male blood tests for infections as well as semen analysis and function testing.

Precycle services range from $2500 to $6000. Medications cost $5000 to $8000. IVF with own egg costs $15400 and PGS testing costs $4800. Anesthesia for implantation costs $600. Acupuncture on-site is $280. Early pregnancy monitoring costs $1300+.

The clinic only offers eSET and most patients in this clinic pursue PGS testing which adds another $4800.

I felt the experience could not be any better. We are still waiting to move forward with a frozen embryo transfer. But when I hear stories from other clinics and doctors, I am quite pleased with my experience with Dr. Fisher. He has a great best side manner, he is humorous. His office makes sure I feel prepared and know the next steps. He is patient with questions.

Just be open and listen, he will try to guide you. He will work with you to get the best plan for you.

I did 2 rounds of clomid combined with IUI. I did 1 round to femera with an IUI. Then I did a "good responder" protocol with IVF egg retrieval including menopur, follistim, and Gonal-F

Our IVF with PGS testing was roughly $20,000. That did not include the medications which were about $4,500

Dr. Fisher will definitely promote only single egg transfer, he was supportive to making a decision with me, but laid out thoughtfully why he felt it was best to move in that direction.

Felt like a number. No real connection or recourse after multiple failed iui’s. Wish he had been more compassionate and problem solving through this. Just kept saying “okay well do another” with no other conversation.

Ask more questions and pull things out of him.

Clomid and IUI

$7,000

Dr. Fisher was great at communicating from our initial consultation, to explanations of procedures and future treatment options. He explained the science (which was important to me) and the practical steps (which were important to my husband) without hesitation. He always answered our questions and made sure that we left every appointment feeling like we knew what to expect moving forward. I was especially impressed with Dr. Fisher's compassion toward both of us. He would personally call with test results and check in on us when things didn't go exactly as planned. He is kind and genuine in his approach. I think that his personal experience with infertility makes him especially understanding of what his patients go through.

Don't hesitate to ask questions, and don't be afraid to express your thoughts/concerns. You will feel better having all of your questions answered!

We started treatment with medicated cycles and IUI, after 3 unsuccessful attempts we asked to move on to IVF. We moved forward with IVF + ICSI and a fresh embryo transfer. The first transfer, unfortunately, resulted in miscarriage. We are currently pregnant with our miracle baby from our second transfer.

The costs differed depending on the treatment. The clinic bills for the IVF cycle which covers ultrasounds, egg retrieval and embryology. There is an additional cost for anesthesia during the egg retrieval, and medications are purchased directly from the pharmacy.

My experience was that Dr. Fisher tends to be conservative and in our situation pushed toward single embryo transfer. Safety of both mother and baby are extremely important to him, and I respect him for urging us to only transfer one embryo. That being said, had we chosen to transfer 2 embryos I know that he would have supported us in that decision.

Dr. Fisher is great. He explains things so we can understand them and talks to us about risks vs rewards. He seems to really understand what we’re going through and seems to provide his honest opinion on best steps to take moving forward.

Be open about feelings, questions, concerns etc. Dr. Fisher is very smart and is good at explaining but don’t hesitate to ask questions or have him explain something in a different way. He likes to draw pictures to help show what he’s talking about

So far, we have done 4 rounds of IUI with Clomid. I developed cysts on the first two rounds and we switched medicine (I can’t remeber the name of he second medicine) and I didn not develop cysts again. When none of those cycles were effective he told us that the chances of another one working are very low. Because of our age and health he suggested taking a few months to try naturally again before considering IVF which we agreed with.

I do not remember exactly but my iui was around $500 per treatment after insurance

Dr. Fischer is very positive, he maintains a sunny disposition, even while cautioning about potential negative outcomes. If anything, sometimes we wished he was upfront about our results, if they were negative in someway. We were concerned he might be adding a positive spin to a negative outcome.

Dr. Fisher is an excellent doctor, feel free to ask him direct questions relating to your procedures/outcomes.

For our second round of retrieval, Dr Fisher hastened the taper of some of the medications, as the first round saw an unexpected jump in follicle size from one ultrasound to the next.

Medication fees, procedure fees- each ivf session from start ot extraction cost around 18k.

He was only my doctor for part of the process as he left the practice but he was always very informative about what was happening and what I needed to do to prepare myself. He never made me feel like a number and always spoke to my husband and I openly about the process.

Go in open minded and ask a lot of questions

I was on clomid for three cycles but had to switch to letrozol because of the side affects. Which he was okay with.

Testing and some medications were covered under insurance. We paid for injections but don’t remember the cost. Each round of iui was $200

Dr. Fisher's strength is his ability to communicate all the benefits and risks of each procedure. I felt he was conservative in his approach and didn't push us to move to the next step if we weren't comfortable with it. He listened to what ideas we had and if he didn't agree, he explained why. Overall, he was very open to letting us guide the course of treatment that felt right to us with his supervision.

Dr. Fisher wasted our time. He was not a good listener with us, did not show us compassion, understanding, or patience. He did not show interest in our concerns or questions and did not respect our time and money. I am still puzzled with the fact that he repeated word for word seminar material that he presented after we told him we were at the seminar and already know how a sperm fertilizes an egg. :)

If Dr. Fisher starts talking about things that you feel are not related to your case or concerns don't feel embarrassed to stop him and make your voice heard. Also say something if he cuts your appointment short.

One hour consultation with Dr. Fisher was I think $350 but I don't remember exactly.

Absolutely hands down recommendation. Infertility can be such a trying time, and Dr. Fisher was amazing in his care, his approach, his compassion, all things honestly. Will absolutely recommend him to anyone facing infertility.

Communicate your concerns so he can provide the best care possible and know you are in great hands!

I do know my protocol was altered during the course of the treatment after he carefully reviewed the previous failed cycles completed by other physicians. His approach gave us the positive results no one else was able to achieve.

My insurance covered majority but process was easy and smooth on my portion

He was friendly but not overly so. I could have used more information on the what & the why of what we were doing. I trusted he knew what he was doing but it would have been nice to get some more advice on lifestyle or more extensive testing options

Do your own research first!

Iui with clomid each time

$1200 per iui cycle

No knowledge of this

Dr. Fisher was very thorough & precise in his way of explaining things and setting expectations. He has been very upfront and fact-based, which is exactly how I wanted it. He might not be the most touchy feely type some people could prefer, but he is very patient, understanding, communicative and willing to listen to & address my concerns. We did two IUI as I was unsure how aggressive I wanted to go (and had lingering hope that things would just work out with min. treatment) but lost patience after two cycles and moved to IVF quickly; I have to say I moved a lot faster after learning all the facts (ex. IUI success rate is really not all that high) from Dr. Fisher. I was lucky that our first attempt at IVF was a success. The entire experience was very smooth overall (other than the daily hormone injections you would expect from the procedure no matter where you go), I felt very informed throughout and was able to plan ahead as much as possible. Looking back, I appreciate the fact that my doctor was cool headed and not feeding into my (inevitable) stress and emotion, but focus on the process one step at a time without over/under managing the expectation. I would definitely recommend Dr. Fisher.

He was pretty strong on single embryo transfer for the success rate, which is what we had in mind too so we didn't really push otherwise.

Dr.Fisher is an amazing human being and RE. I went in as a queer person with an idea in my head that the more "natural" approach I could take the better and from my first appointment which lasted over an hour Dr.Fisher never questioned my goals or opinions, even as they changed over the course on a year as I decided to go with IVF. My wife and I knew we wanted to start a family in about a year and we wanted to be as prepared as possible. I went in to get all the information I could and learn exactly what I should be doing to prepare my body for ttc. Dr. Fisher was with me each step of the way always being very informative, always being gentle, and always checking in on how I was and how my wife was. As I learned more about my insurance over the course of the first half of the year I discovered I had the option to have IVF covered in full. The thought of banking embryos now while my eggs are at their youngest started to become more appealing. Dr.Fisher again took time to meet and discuss all our options, how we could take the most relaxed approach and not overstimulate me which I had seen happen to my friends. I felt confident moving forward with IVF knowing Dr.Fisher would make sure things moved forward gracefully. My stimulation process was truly a breeze, I felt cared for and safe. When the day of retrieval came I was terrified but Dr.Fisher made sure I was okay. The retrieval went beautifully and recovery was quick! We PGT tested our embryos and I wanted to do one more retrieval to get to my goal number of normal high grade embryos for the potential of future children but then something unexpected came up our lives, a move to a new city in a new state. With only a few months left in the bay area we would be able to fit in one more retrieval cycle or a transfer, otherwise we would need to travel back to the bay for future transfers. We chatted with Dr.Fisher and decided to go for it and prep for one transfer before the move. Dr. Fisher decided on a modified natural cycle and I am SO glad he did. I have many friends who do fully medicated cycles and it takes such a toll on them taking so much medication sometimes for months beforehand and so many PIO shots. We allowed my body to do what it naturally does on its own. No progesterone needed, just a trigger shot at the time I ovulated to boost my natural hormone release and 5 days later my transfer. The transfer itself was amazing and once again Dr.Fisher was remarkably kind, informative, and genuine. Four days later I tested and got my positive, after 14 days I had 3 HCG bloodtests done all showing positive pregnancy, and finally 2 ultrasounds one at 7 weeks and one at 9 weeks showed growth exactly on schedule. Saying goodbye to Dr.Fisher was sad for both my wife and I. We had had such a wonderful year with him it was hard to imagine having a new doctor for the pregnancy stage. I am now 11wks and we are moved to our new home! My next appointment with out birth center is next week and I can't wait to send Dr.Fisher a ultrasound picture of how our little one is growing :)

You can feel comfortable with him. Whatever you are thinking, whatever questions you have he will take the time to listen and discuss with you all your options. Going into this can be scary, but with Dr.Fisher rest assured he is a friend as well as a brilliant RE.

Retrieval Prep Protocol: I stimulated for 11 days, began my antagonist on day 7, and triggered on day 11. These are my starting doses and they went down as my cycle continued. We wanted to stimulate what I naturally had, and not try to create more follicles than I naturally do. This kept me from overstimulating and I had a pretty relaxed stim process. Results: 13 retrieved, 11 mature, 10 fertilized, 8 at day three, 5 top quality at day 5/6 frozen Stimulation: Gonal-F 150IU, Menopur 250IU Antagonist: Cetrotide 250mcg (prefilled) Trigger: Novarel 5000IU, Leuprolide Acetate 1 prefilled vial Transfer Protocol: We went with a modified natural cycle. This allowed my body to have its own natural cycle and we supplemented a little to boost my natural hormones. Letrozole helped me to grow 2 large follicles when I normally grow one, so double the boost of natural hormone. We then added a trigger with my natural ovulation so I dropped both of those eggs again boosting what my body was already naturally doing. My transfer was exactly five days later! Results: Positive home pregnancy test at 4 days past 5 day transfer. HCG tests at 9 days past and 11 days past and 14 days past all showed positive pregnancy. Currently 11 weeks pregnant. Transfer (5 appointments including bloodwork, monitoring, and tranfer): Letrozole 2.5mg x2 for 5 days Ovidrel 250mcg (trigger at time of ovulation) Medrol 16 mg for 5 days up to transfer

My services were fully covered by insurance, I really couldn't say.

We knew from the start we would only transfer one embryo. Dr.Fisher never pressured in any direction but was clear that multiples are a risk for mother and baby.

We used Seattle Sperm Bank and were very happy with our experience, they went above and beyond to make sure we had everything we needed. When it was time to have the sperm vials sent to Spring Fertility they let us know Tuesday was the best day for delivery, we simply let SSB know and they schedule the shipment to arrive the next Tuesday morning.