Arizona Center for Reproductive Endocrinology and Infertility

I have been seeing Dr. Gelety for almost one year (I started fertility treatment at another clinic then transferred to him). He did an excellent job at our consultation reviewing the workup we had received with our previous doctor and some more testing he would like to do. He was 99% sure that I had endometriosis based on my age and years of taking birth control pills. Turns out he was right because he did end up doing surgery a few months after I began seeing him and found mild endometriosis, multiple polyps, cysts, and scar tissue of my left fallopian tube which he said may have indicated I had an ectopic pregnancy at one point. Dr. Gelety is confident in his skills and he did an excellent job with my surgery. He is very direct with what he feels your course of treatment should be and why. He does not jump right to recommending IVF like most reproductive endocrinologists do. I did begin taking Lupron shots in preparation for IVF (as this is the route my husband and I chose to go). Shortly after beginning the shots, I learned I was pregnant with twins. Dr. Gelety was fantastic during this process and had me come in weekly for ultrasounds and bloodwork to closely monitor my babies since I had experienced 2 miscarriages already and was at an advanced maternal age. He also had me begin taking progesterone pills and of course I stopped the Lupron immediately upon getting a positive pregnancy test. Unfortunately, at 7 weeks no heartbeat was detected and I scheduled a d&c with Dr. Gelety which occurred the following week. During this process Dr. Gelety was very sympathetic and I could tell he truly was hurting for my husband and I. Another thing I love about Dr. Gelety is that he will support you in your journey even if he is in disagreement. For instance, after the miscarriage and before I pursue IVF I decided to take some time off and begin the supplement regimen recommended in "It Starts with the Egg" as well as begin a Mediterranean diet and acupuncture. Dr. Gelety was honest with me when I told him this is the course I would like to go. He said in his experience, he has had women get pregnant with IVF who did not change their lifestyle but he also told me he fully supports my decision. I am very happy that my husband and I are receiving our infertility treatment with Dr. Gelety.

Make sure you come prepared with questions. Dr. Gelety talks and moves fast, so it may be necessary to ask him to repeat things. If he sees that you have a list of questions, he is more likely to sit down with you and answer them. Also, continue to follow your heart and gut during this process at Dr. Gelety's clinic. He will make suggestions that he is very confident about, but ultimately you know what is right for your body.

As far as I know, his protocols for IVF and IUI are very patient specific. For my IVF process, his plan was to start me on Lupron injections just after my period ended. Then we were to begin Menopur. From there, I am unsure what the process would have been. Dr. Gelety's clinic provides you with information one step at a time and monitors you very closely.

Dr. Gelety's fertility treatment prices are VERY fair and cheaper than most in this area.

Dr. Gelety was polite, however, going on the knowledge I have now he did not fully inform me of the risks associated with conceiving with uterine fibroids. He seemed rushed during our initial appointment and my husband, and I did not feel that the amount of time he spent with us was appropriate. Being that we had driven 1.5 hours for our visit we were disappointed to not have had a chance to address all of our questions.

Be specific in your concerns and questions.

Dr. Gelety did not really discuss future treatment protocols with us. He simply stated that we should give him a call when we were ready to move forward with treatment.

Our care associated with Dr. Gelety was supposed to be aprx $10,000 not including yearly storage.

He was always late to appointments. He belittled the situation of unexplained infertility that we have, saying things like, you’ll be pregnant in no time. Or just think, this time next year, you’ll be holding your baby or be pregnant. I thought wow that’s really soon, I must not really have a fertility issue, or not one that can’t be solved easily. Well here we are almost 3 years later and no pregnancy ever occurred. Doctors should not be giving out false hope. Also his first suggestion was to start on ovulation induction, when I already ovulate on my own. So we opted to start at IUI and he did not explain the chances for success and he acted surprised and perplexed when it wasn’t successful. He then suggested switching from letrozole to clomid, which caused too many follicles and the cycle had to be canceled. It was then that we switched clinics.

Find other options, especially if you have unexplained infertility.

His first suggestion was to start on ovulation induction, when I already ovulate on my own. So we opted to start at IUI and he did not accurately explain the chances for success and he acted surprised and perplexed when it wasn’t successful. He then suggested switching from letrozole to clomid, which caused too many follicles and the cycle had to be canceled. It was then that we switched clinics.

IUI cost $1050 + $150 trigger shot

N/a

I had prior records listing my work up and prior IUIs, he wasn’t interested in the records. He is very conservative, will not request you to do more interventions to spend money. His treatment options are the most cost effective In the area. His office usually runs on time, however sometimes the appointment feels rushed. I rarely felt confident, and felt like we should be adding more treatment options.

If your infertility issues are cookie cutter and are know this would be a cost effective way to achieve pregnancy. In my experience is there are unknowns, likely not the best option.

IUI- blood work two times with two ultrasounds. One about day 1-3 of cycle and another around day 12. When ovulation is predicted a semen sample will be obtained and washed. Then it will be inserted into the uterus. Return to the clinic 7 days later for progesterone and 14 days later for HCG. Medications include a ovarian stim his preferred medication is clomid on days 3-5 of the cycle. Ovulation induction Injection, ovidril, about 12 hours prior to iui. Progesterone 24 hours after IUI until a beg HCG, oral pills. Egg retrieval requires a blood work and ultrasound on days 1-3 of cycle. 2-3 more ultrasounds to follow during ovulation stimulating. Injections on days 5-9 to stim the ovaries. Retrial and semen sample the same day. 3 days later embryo transfer. 24 hours later start progesterone injections. Lab work 5-7 days later for progesterone and hcg 10 days later. Frozen transfer is similar to IUI but no ovulation stim. Instead estrogen pills are taken to build the lining around days 3-14. Progesterone injections start 24 hours after embryo transfer.

Easy to make appointments 90% of the time. Able to get close to a time I was able to come in. Couple times appointments were very limited

IUI are 295 if your insurance covers ultrasounds and labs. Egg retrieval and 1st transfer 4900 Embryo transfer 1200 Embryo storage 500 All of these costs do not include ultrasounds and lab work as my insurance covered them.

He is very willing to transfer multiple embryos. I transferred 3, 3 day embryos that “looked great” twice. I also transferred 2, 5 day embryos twice. First set were 5As and second were 5Bs and 5 bc.

Dr. Gelety’s strengths that we can see so far... 1. He looks out for you financially. 2. Talks candidly about any questions you bring up. 3. You get to see him at every appointment. Some of Dr. Gelety’s faults... 1. He did not read any of our information before entering the room with us. 2. He can be in a hurry and maybe not seem like he wants you to ask any questions. (He will answer if you do ask though! In a very friendly manner too!)

You need to advocate for yourself here. Come prepared and ask questions.

We are starting IVF treatments this cycle. It looks like I will be using Lupron starting day 21 of my cycle and then starting menopur and an HCG trigger.

IVF looks like it will cost us around $10,000 with a transfer. We think we are going to do PGT testing too at $4000 to try to be informed as possible.

When in our consultation he seemed to be fine with a multiple embryo transfer but wanted to see what our embryos looked like first. I will update this as we move along.

Dr Gelety is perhaps more blunt than other doctors, and he will certainly give you a lot of information that can prove somewhat overwhelming, but he approached my issues as if they were a puzzle to be solved and assuaged my worst fears with kindness and understanding.

Bring a notebook to the first appointment, be prepared for each appointment with your written questions. Dr Gelety is efficient, which I appreciate, but that means you need to get your thoughts in order before you see him.

After another doctor in town misdiagnosed me as pre-menopausal, and after over a year with that other practice, Dr Gelety diagnosed me with endometriosis. We also were able to get my cycles regulated after years of having two periods a month.

IUIs were somewhere around the $120 range. Blood tests were $80.

Dr Gelety is thorough and knowledgeable. The initial appointment was long and not rushed. We covered everything. He set very real expectations and steps knowing that we could adjust the course along the way if necessary. I see him at EVERY single appointment whether its just a check in, an ultrasound or an actual procedure. While each appointment is not very long, I feel like everything is covered. I would call him "efficient"

If you're looking for someone to hold your hand and sugar coat anything then he is not the one for you. He is straightforward and to the point. He is friendly but in a professional doctor way not in a friend or acquaintance way. Also, know that you will see him at every appointment. For me, that builds a lot of confidence and reassurance in the process.

Before starting IVF we did a lap where discovered that i had stage 2 endometriosis. It was shocking that this had never been discovered before after my recurrent miscarriages and fibroids. Once we started IVF we did a cycle of lupron, 9 days of menopur and Novarel as the trigger.

Monitoring appointments were scheduled like any other appointments. They don't have specific windows for only certain procedures. So we could schedule ultrasound appointments for any day of the week or time. This is because they are all handled by the doctor himself. We traveled 2 hours to see the doctor and found them very flexible to accommodate our schedule.

A round of IVF is about $7k not including medications. We pay $35 for each bloodworm that is done since they do it in office.

We haven't done an embryo transfer yet but he is for a multiple embryo transfer especially due to my age.

Dr. Gelety is well-respected in Tucson and I initially liked him, but as time went on, he became very dismissive to some of my basic questions. I was dealing with a cyst that wouldn't go away and his answer was to do another Lap (which I recently had done already). There are other ways to get rid of cysts, none of which were even mentioned to me as options. Instead of suggesting birth control, he immediately suggested I have a Lap procedure. He went from 0 to 60 with no in between options which made me realize I should leave him and get a second opinion elsewhere. I have heard from friends that he pushes Laps which I initially didn't believe, but in the end I witnessed it first-hand.

Make sure Dr. Gelety performs the basic tests in the beginning to rule out things like Thyroid issues, phase defects, etc. Once these are done, make sure he reviews them with you in great detail before he suggests treatment options.

I always paid my $40 copay at each appointment which, if it was done, would cover the ultrasound and appointment with the doctor. Blood work was never covered (even though my health insurance covers blood work 100%) and cost $60. His prices for IUI and IVF are extremely reasonable and are much cheaper than at least one other RE in Tucson. Gelety and his staff are pretty firm on not working with your insurance so if you are one of the few who has fertility treatments covered by your health insurance, you will probably have to do all the leg work to get it paid for.

Dr. Gelety was awesome. We traveled 5 hours to see him and he was worth it. He was very patient and explained everything to us. I had 9 embryos and on my last chance he advised us to wait an extra month because my cycle didn't seem right. We waited and then went in the following month anf got pregnant with our daughter.

Write down all your questions before you go in for the consultation so you don't forget.

Dr. Gelety had me start on menopur injections 2x a day after my cycle ended. I went to check progress on my follicles and on day 12 they retrieved 9 eggs and performed ICSI with donor sperm and all 9 developed into embryos. We did1 fresh cycle and 2 frozen.

The entire process cost about $12,800 for mediciations and treatment

We chose multiple embryo transfer because he suggested that with my age it was recommended.

Doctor Gelety worked with my own cycle and never had me take birth control to control my cycle. He was available whenever I needed him and came in during a holiday to do my retrieval. He seems to do things more old school and my treatment seemed to have a lot less medication than other people going through treatment. He does seem like he is in a hurry often.

Do you own homework, be sure you follow up because sometimes they forget. He allows you to get your medication in Mexico which definitely lowers cost.

I started off with clomid and monitoring cycle. I was able to get pregnant during the 3 round, but had a miscarriage at 18 weeks. Then clomid and IUI with Hcg trigger shot, negative pregnancy test. 1 st round iVF menopur 4 vials 8 days, then trigger shot. Transferred 3 embryos resulted in chemical pregnancy. 2 round IvF double dose of menupor, lupron for 3 days. Hcg trigger shot.

IUI 750 plos $50 trigger shot. IVF 7500 plus ICSI was 1,000. We got most of the medication in Mexico costing 1,200. Office visits were $50 copay, blood work $50 each time I believe.

I think that the doctor has a lot of experience, so I was comfortable with him suggestion the number of embryos to transfer. For me it was 3 each time.

Dr Gelety himself seemed like a confident, caring guy. He was just always so rushed I never had time to ask him all my questions, and a lot of times left frustrated and confused. He definitely knows what he is doing, the communication just isn't always there. I felt I was treated much better after I got pregnant. I did like that he gives out his personal cell number, and I called him a few times when I had urgent problems and he always called right back.

Get all your questions out as soon as he walks through the door for your appointment. Don't let him leave the room if you still have more questions, because he will disappear to the next patient.

For fresh cycles, Dr Gelety put me on birth control for a month, then I did Lupron injections to suppress my ovaries for 2-3 weeks. Menopur was used to stimulate follicle/egg development, trigger shot before egg retrieval, and progesterone in oil injections were started around transfer time. Frozen cycles were easier. Provera for 10 days to induce a period if needed, then estradiol pills to build uterine lining for 2-3 weeks. Progesterone in oil shots started around transfer time.

Fresh cycles were around $10-11k including medications. Frozen cycles were $1,200 and annual embryo storage fees are $200.

He was a nice doctor, but we felt like it was a blue light special. We did see him every time but I always had to go home and research what the next step should be and he wasn't doing that. I would ask question and I just felt like he wanted to get us through everything and get our money and then move on to the next person. His bedside manner is not the best but that doesn't mean much to me. I want to know and understand what the next steps are and what we can do to help improve things. He wasn't the right doctor for me.

Just know what you want done, do your research and get second opinions.

We did IVF. We got our medicine from England and it was a regular cycle. It wasn't much different then my other IVF cycles, but he only grew them to 3 days and told us they looked great.

I just remember with medicine and the procedure it was $10,000

He transferred 5 embryos into me two different times. He said that some of them he didn't think would survive anyways so he said we could just put them in me and let my body absorb them. Was that the best idea when I could have had two embryos that were good to put them in with bad ones too.

Dr. Gelety is right to the point and I appreciate that. At a previous clinic I had to wait three months for this then wait longer for that. I explained my frustration to Dr. G and he understood and didn’t agree with me waiting X amount of months. He had full confidence that he could help us!

Dr. Gelety is a genius he is factual and he doesn’t sugarcoat what’s happening. After our IUIs and positive preg test, he is the one to call you and share the news good or bad. And I appreciate that! When our transferred failed he was just as sad. You don’t see that with doctors now a days.

We were very fortunate to have great health insurance coverage.

Dr Gelety isn’t overly friendly and his bed side manner could improve, but I never had a negative experience with him. He laid out multiple options for us and allowed us to choose what course of action we wanted to take. He also always gave options of where we would like to go next.

Don’t expect warm and fuzzy from him. He doesn’t take extra time with you unless it’s necessary, but he does care about you 100%. He’s a little socially awkward, which was a quirk I kind of liked in him.

We did 2 IUIs with Femara and a trigger shot. We then did Lupron 20units followed by 5units, Menopur 4 vials for 9 days, HCG 10,000 trigger, and then progesterone in oil for our IVF cycle. We did retrieval with a fresh embryo transfer using 3 day embryos.

Approximately $5,500 for IVF, $1,200 for ICSI, $475 for egg freezing.

Dr Gelety left the option up to us, letting us know that one embryo was about a 20% success rate and two was about a 50% success rate. Ultimately, he did whatever we wanted to do though.

I feel like he doesn’t have the best bed side manner but he has the same goals as I do. He try’s to be very thorough and make sure you know your plan but he moves quickly so sometimes I’m still left with questions . My labs had gotten mixed up and now I don’t trust him as much

Make him take the time to explain everything to you .

I’m young so we started out with clomid then femera then iui and now we are working on ivf

Cost is very affordable , most things are very cheap compared to other centers .

He is more set on just transferring one even though he says there is a higher chance with two

Very responsive to my questions and never let me feel like I wasn't getting the full story. Amazing bedside manner and skilled in the field. He immediately diagnosed my need for laparoscopic surgery to treat endometriosis and let me feel like the ball was always in my court.

Listen to your body and listen to your heart. Take breaks when needed and don't feel forced into the next round of treatment

During the first round of IVF my number rose slowly and the number of mature eggs at retrieval was low. During the second round of IVF my numbers were more closely monitored and meds were extended there extra day resulting in 3 times the amount of mature eggs. Transfered fresh again, then two FET cycles. No pregnancies

Fresh round of IVF not including meds was $3700 for monitoring and retrieval and then $1200 for transfer and $500 for freezing

Always transferred two or three embryos

As a patient that has been through multiple cycles he was very knowledgable and presented us with all of our options ahead of time. He was thorough and if we had any questions he answered them. Unfortunately, our cycle ended in a miscarriage, but he was prompt in the situation and living over five hours away he called me and comforted me over the phone and fit me in immediately as soon as I could get to the clinic.

Write any questions down before your visit. He is knowledgable and will explain and go over all options specific to you.

$2,500 - FET

De. Gelety was a breath of fresh air compared to the last doctor I saw. He took the time to explain treatment in detail from beginning to end. He removed both of my tubes due to bilateral hydrosalpinx before I began treatment so I could have the best shot. He encouraged me throughout the process and kept me in good spirits. He was able to get a lot more eggs with his protocol than my previous protocol. Because of my previous history he was able to put back 3 embryos which was amazing. He was empathetic when I received my negative results.

To trust Gelety and the process.

I was on the antagonist protocoI believe. It wasn’t as much medicine or shots as before which was amazing and I produced more eggs, although a lot were immature. He goes with the flow of your natural cycle and the timing of everything seemed perfect from meds to retrieval to transfer everything seemed to go as planned.

I liked that there weren’t a lot of them compared to my last clinic. It was very convenient.

It was 5900 for the package and to add icsi it was 1,200 more. We paid for meds out of pocket. I also had some left over from a previous cycle. They did provide the trigger shot at the office for a fee which was convenient. It was 150.00. The prices were very reasonable.

I absolutely love that he can do multiple embryo transfers for those that need it.

I felt like Dr Gelety was invested in my care and success. He was available and tuned in.i appreciate his focus and knowledge. I feel like he took me on as a challenge. He was very thorough and kind to both me and my husband

Ask lots of questions

Autoimmune protocol due to my autoimmune response

Retrieval, and fresh transfer $6000 Frozen transfer $2000

He recommended multiple transfers