Thomas Fisher

Dr. Fisher has been wonderful at creating a treatment plans with me, adjusting it as we got new information, and encouraging and supporting me as I've had questions or concerns. He is very responsive and personable, he has gone out of his way reach out to me even on weekends to share good news we've been waiting for, and been caring in expressing condolences when I've gotten bad news. I feel very comfortable knowing he is in charge of my care. I feel he truly cares and is rooting for me!

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

By the time my husband and I saw Dr. Fisher, we had been trying to grow our family for over a year and had experienced one pregnancy loss. We were sad and defeated, but after our first consultation appointment with Dr. Fisher, hope was restored. Dr. Fisher spent over an hour meeting with me and my husband, asking us lots of questions, and reviewing our lab test results with us. He explained in detail what he thought may be going on and gave us a few options for next steps. This was the most time any doctor had spent with us over the past year and we left his office feeling informed and hopeful. Over the next 3 months of treatment, Dr. Fisher and his team were communicative, honest, and always kept us informed along the way. We had one minor setup during the Timed Intercourse treatment process, but Dr. Fisher had a solution and always kept us informed of what he thought was happening and why he was recommending certain next steps. Ultimately, we are blessed that the treatment worked and we now have a beautiful healthy 2 month old baby boy. We are so grateful for everything Dr. Fisher did to help us grow our family and would highly recommend his services.

Come with an open mind and trust the process

Dr. Fisher suggested we try Timed Intercourse and started me on 5mg of Letrozole. I took the 5mg of Letrozole for 5 days and then went in for an ultrasound to see if my ovaries had grown. They hadn't made much progress, so Dr. Fisher increased the Letrozole dose to 10mg and I took that for 5 more days. When I went back in for my next ultrasound, my ovaries had grown slightly, but not as much as we had hoped. That being said, Dr. Fisher told me he felt confident the medication was working, it was just working slower than we had anticipated. Dr. Fisher told me to wait a few more days and then take an ovulation test. I did exactly that and the test was positive. My husband and I were fortunate enough to get pregnant that month thanks to the medication and treatment process.

Approximately $6,500 for one round of Timed Intercourse + a saline sonogram.

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.

Dr. Fisher is great! He understands how difficult the process can be and is very empathetic. He monitored all aspects of my progress and frequently adjusted things to make sure that we were making the best choices at every step. At our initial consultation, he explained that our chances weren't great, but we ended up conceiving after one cycle and I'm due to give birth in three weeks.

Feel free to be honest and candid. He really listens.

I've mostly tried to forget, but we did an extra week of hormone injections in the beginning before the transfer to let the eggs grow. Then, we postponed the transfer for one cycle and I did suppositories because my progesterone levels were too low. We made all these decisions together.

A little under $30,000 for the whole thing. Around $18,000 for the first part (extraction), $4000 for all pre-extraction meds (unlimited meds, rather than paying per Rx - ended up saving us money) , then another maybe $5000 for the embryo transfer, genetic testing was a few thousand, I had to take progesterone, which was a few hundred, and some ultrasounds.

We only had one good embryo.

Dr. Fisher has incredible bedside manner, which is very much needed in this profession since fertility is a very sensitive matter. He also explained everything thoroughly and I trusted him completely.

As all the questions you need. Dr. Fisher is very patient and understanding and he will explain everything to you thoroughly.

I underwent 3 cycles of the mid-luteal treatment protocol.

I had no issues going to any of my monitoring appointments. If my doctor was not available, another doctor performed the ultrasound and I did not have any problems with that.

I don't recall because I only paid $2500 (the full amount of my deductible) for my first cycle and my insurance covered the remainder of that cycle, plus the 2 other subsequent cycles.

Dr. Fisher was warm and caring. He shared his families personal experience with infertility and IVF, and would take the little bit of extra time to get to know me, ask me how my weekend went, etc. When we decided to find out our babies gender, Dr. Fisher wanted to be the one to call us personally which I thought was just so kind and one of many examples of how I was treated like a human not a number.

1st Retrieval: Mid-luteal protocol, Menopur/Gonal-F plus Cetrotide injections for ~14 days, yielded 2 PGS-normal embryos. 2nd Retrieval: Standard protocol, Prepped with birth control, Menopur/Gonal-F plus Cetrotide injections for ~14 days (same dosages as 1st retrieval). I also did acupuncture, which Dr. F confirmed has shown to be effective in some studies. Cycle yielded 7 PGS-normal embryos. 1st Transfer: Natural cycle, was given hcg trigger, and medrol leading up to transfer. Valium for transfer procedure. Frozen embryo transfer with Day 6 5AA embryo. Supplemented with 2-weeks endometrin suppositories post-transfer. Now 27-weeks pregnant with my first babe :)

My employer provides fertility benefits, so my total out of pocket cost was <$2k for procedure, appointment, and prescription co-pays.

Dr Fisher strongly advised against multiple embryo transfer for my specific case, due to potential risks.

Dr. Fisher really heard me out on my TTC journey after stillbirth. He was so supportive and made me feel comfortable even though my retrieval’s did not go the way we hoped. He helped with my plans moving forward after two retrieval’s and moving forward with a transfer with our one embryo prior to trying a third retrieval. He is such a great doctor and person.

Ask all your questions as you deserve to understand your treatment plan and Dr. Fisher is very helpful to explain the process.

We did IVF with ICSI we had expected to get lots of embryos, unfortunately only 2 embryos made it to blast the first retrieval and 1 embryo the second retrieval. We did a natural cycle for my frozen embryo transfer which was successful.

I had insurance for IVF

I completely agree with a single FET (I also only had one embryo)

Dr.Fisher explained everything very thoroughly. He is very knowledgeable in his field and made us feel comfortable every step of the way. We felt like we were in great hands throughout the whole process.

You’ll be in great hands. He really listens to you and explains everything in detail. He was fantastic!

I can’t remember all the specifics but I know we used gonal-f, and another medication before egg retrieval. We did a frozen embryo transfer about 6 weeks after egg retrieval and pgs testing.

The total cost from start to finish (one IVF cycle with a positive pregnancy) was roughly $28,000

Spring fertility prefers to do only a single embryo transfer. They let us decide which embryo we wanted to use.

Dr Fisher worked with my anxiety to ensure I was well informed. He took my opinions into consideration, explained all medication and procedures in detail and never pushed me towards a treatment I didn’t feel comfortable with. He predicted the exact outcome of my treatment cycle, down to the number of embryos. He really uNader stood our diagnoses and helped us get a good outcome in the very first attempt.

Don’t be afraid to ask questions. Dr Fisher is very kind and accommodating

Inspite of low chances of success , because of our preference, we started with IUIs with Letrozole for male factor infertility. I also have one tube only. We moved on to IVF , did one round of mid luteal protocol , added ICSI and zymot and got 17 eggs, 4 day 6 embryos , 3 PGT normals. We transferred one embryo in a modified natural cycle the following month (medrol + Valium , no progesterone ) and it was successful.

Used Progyny - paid out of pocket max . Total cost around 5000 usd

I agreed with Dr Fishers risk assessment and preferred to transfer a single embryo

Very kind and empathetic. Really knows his stuff. I spent more time talking with my nurse than Dr. Fisher, but I always got the impression that he was kept up to date with my progress and was very involved in the background.

Use him! He's great.

We did an egg retrieval with genetic testing which was $21k including all monitoring apts and one transfer. Meds were separate and those were another $5k-ish. We did a second transfer and I think it was around $3.5k

Dr. Fisher was referred to us by my OB/Gyn, as we were having trouble conceiving our second child (due to DOR, low AMH); therefore, we decided IVF was our next route. From our initial assessment to our last & final appointment, Dr. Fisher was nothing but amazing! Not only is he a wonderful doctor with incredible bedside manner, but he rocks as a human being - his compassion & dedication is apparent in everything that he does. We are so, so grateful for this man & the fact that with his help, our little miracle girl was born happy & healthy.

While the process might take longer than expected or wanted, he personalizes your protocol & values your insight as a patient. Your concerns/questions do not go unheeded.

All in all, I believe we spent approximately $45K OOP. It's a shame insurance didn't cover most, if not all, of it.

Due to my age, Dr. Fisher suggested that we transfer all our 3 embryos (1 frozen; 2 fresh) at once, which he thought might increase our odds of success. We are so happy we went with his suggestion, as one of those embryos resulted in our little girl!