Bethesda Fertility Center (closed)

When we first met Dr. Robertshaw we were entering our 5th year of TTC, and Bethesda was our third clinic. We'd been to a huge clinic where I described most of my visits as "cattle calls", and to a smaller clinic where I still felt as though the doctor never really heard or understood me or my questions. Within minutes of meeting Dr. Robertshaw we knew that things would be different -she listened carefully and responded thoughtfully. Throughout treatment (1 cycle IVF) she let us have our way where we felt strongly about things and helped us make decisions when we were unsure. She never *ever* rushed through an appointment, and will always take the extra few minutes to answer every last question or to celebrate with good news.

Sometimes (but not always, maybe 10-20% of the time) you may have to wait a bit. Because she never rushes patients through appointments, things can sometimes go over -since I've certainly been the one prolonging things, I was more than happy to wait patiently for my turn, and she never rushed through my appointments to get "back on track" like other doctors do.

We went through one cycle of IVF. I used GonalF for ovarian stimulation and had regular ultrasounds during the cycle to check progress, then something-that-starts-with-a-C to induce ovulation. Then the egg retrieval -we got something like 20 eggs, which was expected from the estimates with the ultrasounds. 19 were mature. Because of my dude's morphology, we used ICSI to fertilize, and 16 ended up fertilizing. The clinic was clear that typically only half of fertilized eggs make it to blastocyst, and that they only freeze high quality embryos, but we ended up with 14 embryos. They all were frozen because during retrieval Dr. Robertshaw identified an issue that required surgery. Immediately after surgery I started estrogen to begin a frozen embryo transfer procedure, then injectable progesterone. My husband and I insisted on 2 embryos, even though Dr. Robertshaw was very clear about the likelihood of twins. We had a positive blood test, then another to confirm, and we had two teeny heartbeats on ultrasound a couple weeks later. We've been discharged to an ob. So in conclusion, one round of IVF, one pregnancy with twins resulting, 12 embryos remaining in storage.

I've met my insurance out-of-pocket maximum, which is 5500, plus another 3000 or so in medication. This is for a round of IVF with one FET, and includes required diagnostic tests such as the SIS, as well as an MRI with contrast and an outpatient surgery.

Dr. Robertshaw was very clear that a single embryo would probably be successful given my age and no history of failure to implant, and said that she'd recommend one embryo. Nevertheless, she recognized that we were a-ok with the possibility of twins (it's been 5 years... we figured we'd have 2 by now, anyway) and let us go for it.

Dr. Robertshaw was extremely kind, compassionate, and helpful. She was understanding and answered all of my questions, especially when I was worried or had concerns. I felt very supported. I would have liked to continue treatment there, but they didn’t know what to try next with my poor outcomes.

Expect very compassionate care.

I have diminished ovarian reserve. I started on Clomid, then shots of Lupron, along with other injections. My body did not respond extremely well and at the time of retrieval, we thought I’d get 5 eggs. In the end only 3 were retrieved and one was able to be frozen. Several months later, we tried to start a cycle with Estrace priming, in which I grew a cyst. A few weeks after that, we tried another cycle, but again my eggs were not growing and it seemed like I wouldn’t really get any. At that point, I was told (very kindly), that they did not have any other ideas and that I could get a second opinion.

Around $5000 for retrieval, not including monitoring and blood work, or medications

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Care was not individualized and all my concerns were ignored. I was told if we kept going, we'd "do the same protocol over and over until I got pregnant". I felt like we wasted our embryos based off a simple issue that was not being addressed. She was kind, but I wish after the first failed cycle she would have done more for us and not failed us.

Look at each patient individually. May be those that don't respond to meds, look at other options. Don't keep trying the same thing over and over.

I did two medicated cycles and an ERA. I did not respond well to all 3 of these. I should have been offered a modified natural cycle after the second cycle didn't respond well. Something needed to be changed and it wasn't. My labs should have been followed closely and they weren't.

$16,000 for egg retrieval, $3,000 per FET, $600 for ERA in office. Labs/ultrasound/visits billed to insurance so not included in the $16,000

Dr. Robertshaw, is compassionate. She is not only educated, she listens to her patients. I never felt rushed when I was with her. I met with her several times before making a decision, she did not put any pressure on me, each time, as it was a lot of money and a big decision to do on my own. But I cannot say enough about the person she is and the doctor she is. I know God sent me her!

To ask as many questions as you want. She will answer all of them and calm your fears if you have any.

I went through two cycles. The drugs were based on the fact that I was doing this on my own and she had a lot of care for me in that sense. She always explained what they would do and why. The first cycle, we tried Estrace, but I wasn't ready, so she canceled it and the next go around, we tried Estrace and Viagra, and my uterus was ready to go!

The best part about Bethesda and Dr. Robertshaw and her staff is that they knew my situation. I did some appointments locally, but I had to relocate for a job so they worked with me and scheduling my monitoring appointments in North Carolina. They were fast with orders and results. It was quite the process for them, but it made such a difference for me to have them care so much and keep me as a patient.

I received statistics for the number of embryos that I transferred and we made a decision together. We changed it from one to two, and one ended up taking.

If I could send everyone to Dr. Robertshaw, I would without hesitation. Dr. Robertshaw is kind, warm, and extremely knowledgeable. I always felt confident in my care and my plan. This speaks volumes about Dr. Robertshaw during IVF because IVF can be stressful to navigate. My husband and I will be returning to Dr. Robertshaw the next time we want to grow our family.

Trust her fully and know that you are in good care.

Since I was being closely monitored, my dosages and medications used were changed throughout the process of IVF. These changes yielded successful results during our egg retrieval and transfer.

I was provided with a clear breakdown of costs before starting our IVF cycle.

Dr. Reynolds is one of the best physicians I have ever seen. She cares so much and at every appointment I feel valued and listened to. She consistently goes above and beyond for me. And I feel like she is a friend. She is funny and empathic and the only doctor I will trust with my fertility journey. I have a lot of anxiety and after conversations with her I immediately feel better. She is super accessible and easy to get in touch with for questions and concerns.

Always feel like you can trust her. Even if something feels personal or that you might get judged for feeling a certain way or believing a certain thing, just know she is trustworthy and understanding. I’ve told her more than she probably wanted to know but I was never met with judgement or anything other than compassion.

My first round wasn’t successful because there was unexpected cysts in my follicles. Knowing this she changed my protocol for my second round and it was way more successful. I did a long lupron protocol where I took lupron for 10 days before even starting my IVF meds. I took Gonal F and Menopur every night. Then I also did a double trigger shot before retrieval on my second round which also could have helped with the successful outcome. My first retrieval was only 4 eggs and then 4 embryos and none of the embryos made it to day 7. The second round we got 8 eggs, 5 embryos, and 3 of the embryos made it and are now frozen.

Egg Retrieval, embryo making, and PGT biopsies was a total of $13,870. One year of cryo storage is 250 for first year then it’s $250 every six months. We also pay for storage for sperm and I forget the exact cost but I think it’s around the same, like $500 a year or so. IVF meds were supplied from a separate pharmacy. The total I spent at the clinic for one cycle of IVF was $15,889.12. I had insurance coverage for some of the ultrasounds, blood work, and exams but no coverage for anything else.

I don’t think she is opposed to multiple embryo transfers. It would definitely depend on each patient’s situation though.

My experience with Dr. Robertshaw was very positive. She explained to me every step so that I could understand and was always upbeat and personable. She got back to me via phone call or email with any questions or concerns typically within a few hours. I had a great experience.

I would just listen to what she has to say and make sure you ask questions if you don't understand.

We ended up using 4 IUI's all together but her plan says, if you don't get pregnant after these times then you need to think of possibly doing IVF. The last time we did the clomid, shot and then had an U/S it showed I had 6 eggs available. She said, "if this doesn't work, I strongly suggest an IVF procedure". I would love to do IVF but with it not being 100% becoming pregnant then its hard to spend the money for IVF especially during hard times.

The IUI was $450, the shot was $100 the meds were $70 And then office visit was a couple hundred dollars or more. The whole procedure/appointment was roughly 900-1000 each time.

This was not discussed

Dr. Reynolds is amazing, she listens to you and makes your feel comfortable, and will change the course of treatment that is best for you. She truely made me feel comfortable in the situation that I had sprung on me with cancer treatments and needing to make a choice to save my eggs or not.

Ask questions and speak up about your symptoms Dr. Reynolds will listen and answer. This can be a scary process/fast pace especially if its not something you have had the chance to think about and need to do for other medical purposes. She is amazing, and will make help you through the whole process while giving you the best medical care.

I was on a certain level of dosages to get my hormones up, Dr. Reynolds evaluated me and started me on shots to slow my hormone growth, and even changed my trigger injection to give me the best results.

Still in fighting the insurance company they said they would cover cost at the beginning to myself, and to the doctors office but when we filed after treatments started they claim no benifits

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Dr. Robershaw and Dr. Reynolds are both amazing, each one treated me as a doctor and helped me with the situation I was going threw, they never made me feel like I was stuck in anything and that the choice was ultimately mine.

feel comfortable enough to ask all questions that you have. no question is a dumb one in her eyes, she will take the time and be honest and speak with you about any questions or concerns you may have, and leave the choice ultimately up to you.

Dr. Robershaw pulled me in and let me know how soon I would have to start treatments based off of my situation, from there she was on hand for questions at anytime. Dr. Reynolds did my surgery, and changed my trigger shots and surgery date when it was discovered I was producing eggs and they were growing at a good rate. She really paid attention to my body and what it was doing and made a plan that was suited for me.

this is still pending, with my insurance.

Dr Robertshaw is a 10 out of 10 doctor. Infertility is a lonely time, it’s a difficult time, & she takes time to ask how you are doing and give support. She listens, is genuine, & truly cares. She shows her concern, is honest, & wants nothing but the best for her patients.

Just be honest and tell her your goals and she will listen and do her best to get you there.

Letrazole mostly, ovidrel, and either timed intercorse or iui (depending on if spouse was available to get to clinic). We did this off and on for over a year.. can’t remember outside of that.

I have no insurance coverage for infertility so paying out of pocket for procedures it is manageable. We have not done IVF only IUI.

Struggling with infertility is a scary feeling, and I felt very alone; but from the very first appointment meeting Dr. Robertshaw, I finally felt like someone understood my pain. She immediately jumped in and had blood work done and tests ran, and a plan to move forward. Any setback I had during all my rounds of treatment, she always showed warmth and compassion and I will forever be grateful to her. I’ve never experienced doctor care like hers and I don’t think I ever will again. Infertility is awful, but having her as my doctor made it so much easier.

Don’t be afraid to ask any questions you can think of, she will go into great detail with her answers and never make you feel like your questions or fears aren’t valid.

I can’t remember all of them but during a round of ivf we decided to do an era test (because of previous losses) which indicated I would need an extra day of progesterone, we also added recurrent loss blood work. (Through this I found I have the MTHFR gene mutation) Besides the gene mutation, nothing showed up on my blood work that would indicate a problem, such as a blood clotting disorder. She decided to try to keep me on blood thinners and do an immune protocol for my 4th Ivf transfer and it worked. I now have a very happy and healthy baby boy, who just turned a year old!

Each IUI was $350 and trigger shot was $100. We did 4 rounds of IUI. I can’t remember the cost of ivf, we were fortunate enough to have some of it covered under insurance.

Dr. Reynolds is a pleasant and positive doctor. I appreciated she didn't dwell on my age. If she referred to my age as a factor, it was more explaining the influence of age on eggs and not spoken of negatively. In the beginning, communication between her and the staff was off. In my visit before IUI, she wasn't in the office, so we saw Dr. Robertshaw. The staff spoke to us as if we were planning timed intercourse. Later, when the IUI did not result in a positive pregnancy test, I noticed in my planned care in the app, progesterone was listed as a medication, yet I was not prescribed it. I was upset by this and Dr. Reynolds was apologetic and said it was an error that it was listed as one of my medications, but we could try it in the next round. I appreciated the apology, but can't help wondering if it was an oversight. Overall, it felt I was being moved through the motions. Trying round and round after IUI, and when none worked, there were just shrugged shoulders as to why it didn't work. Looking back, I wonder why I had no hormone testing (aside from checking estrogen), no discussion into the supplements I was taking or should take, no discussion of diet. From what I know now, I could have been more of an advocate for myself and asked for more answers before going for another round of IUI.

Educate yourself on factors that cause infertility: hormones, thyroid, etc. Be an advocate for yourself. I have a history of endometriosis and not once in being examined or in ultrasounds, was it an issue or even spoken of. Write down your concerns and questions so you don't forget. Dr. Reynolds is very nice, so ask away! Document visits, meds, and procedures in a calendar that you can refer to. (And if you're not already doing so, keeping track of your cycle in an app is very helpful.) These clinics are juggling a lot of patients, so keep your own records you don't have to dig for.

After the first consultation, I had an ultrasound and Saline infusion sonohysterography (SIS). Both showed no signs of any problems. The first three IUIs seemed standard: Clomid and trigger shots. Progesterone was taken two of the three of these IUIs. None resulted in a positive pregnancy test. Before the 4th IUI, it was discovered I had a cyst on one of my ovaries. I was put on birth control for a week to minimize it. Then the 4th IUI continued with Clomid and trigger shot, then progesterone afterwards. No positive pregnancy test. Over the four IUIs the dosage of the trigger shot changed.

SIS: $1,080.00 (not covered by insurance). IUI: $215. Exams which may or may not have included ultrasounds, but often did ranged from $190-$300 with IUI included in a few. Other exams to draw blood ranged $70-$90. Lab costs were around $25 each. Genetic Testing (Progenity) $349. Medication totaled $1,108.

Dr. Reynolds is an outstanding person. While we have not yet had success with IVF, we did a lot of research and felt that Dr. Reynolds most closely fit what we were looking for. Her insight and thoughtfulness made me feel comfortable every step of the way. Even when things did not work out, we never thought of going in another direction.

Be upfront with her and do not be afraid to ask questions if you have them.

To this point we have spent $32,000 on our fertility journey. (that includes our next and final transfer) We were able to use WinFertility to help pay for some of the costs. I will say, check all pharmacies for prescriptions, do not just assume the nurses know the best places.

Dr. Reynolds was willing to do whatever we felt the most comfortable with.

Dr Reynolds very carefully took her time to explain the aspects of infertility and more specifically what our struggles meant for our chances of conceiving. She gave us all our options and allowed us to make an informed decision on the route we wanted to take. She didn’t try to persuade us to go one way or the other. She was able to express what we should expect from our first iui cycle but still gave us hope that even if it was not successful she was very confident that we would be able to conceive.

Ask as many questions as you need to in order to fully understand all your options.

At my consultation appointment we got right down to business. Dr Reynolds performed a quick transvaginal ultrasound to check out the lining of my uterus and my ovaries. She also ordered bloodwork to check my overall health and hormone levels. The results came back pretty quickly and she was able to order a repeat of one of the labs that she was concerned about. For my first cycle we decided to try a medicated iui. Based on my labs she started me off on a pretty high dose of clomid (100mg) per day for 5 days starting day 3 of my cycle. Midway she asked that I come in for a SIS ultrasound which was quite painful. My ovaries and eggs were checked at this appointment as well. After the ultrasound we decided that I should do my ovidrel trigger shot because I had several follicles that were ready and was nearing ovulation. 36 hours later I went back in for my iui. It wasn’t very quick and just a little painful because of the position of my uterus.

My iui was roughly $500 for the insemination and sperm wash. The medication was about $120, this included the clomid and ovidrel trigger shot.

Dr. Reynolds took the time to listen to my history and all concerns that previous doctors dismissed. She’s very knowledgeable and confident in her abilities. I always felt like I was receiving the best care possible.

Come prepared with any questions and concerns you have. She takes her time to talk with you about them all.

For my only egg retrieval, I was given an antagonist protocol. I began with birth control to suppress my ovaries and shrink a cyst. For nine days, I took 200iu of Gonal-F and 1 vial of menopur. I took 250mcg of Cetrotide to keep my body from ovulating before the egg retrieval. Two days before the retrieval surgery, I triggered with 10000 IU of hCG. I had 19 eggs retrieved, 12 of which were mature. The eggs were fertilized using ICSI and by day 5, I had 7 blastocysts. During the time frame between retrieval and transfer, I took Medrol for 5 days and began the Progesterone in oil injections. We transferred two AA day 6 embryos and had the remaining 5 cryopreserved. Only one implanted, and we gave birth to a beautiful baby girl.

I am not aware of the exact costs of my treatment, as my insurance covered almost all of the procedures and medications. I do recall that the estimated medication cost for my first IVF cycle would be between $5000 and $7000 if I had to pay completely out-of-pocket.

She did weigh in with her opinion, but said the decision to transfer 1 or 2 embryos would ultimately be up to my husband and I.

She is extremely knowledgeable and has data and studies to back up each of her treatments suggestions for my particular situation. She explains things well to myself who needs details and comforted and my husband who is factual and wants all the data. She is very upbeat and to the point. She’s excited about what she’s doing and encouraging which is definitely needed on this long hard journey.

She is the only RE I’ve consulted with. I saw her partner, Dr. Robertshaw who is also fantastic and highly recommended, but Dr. Reynolds just got me right away. She made a plan of attack and encouraged us to make decisions together but was ready to move forward as aggressively as we wanted. Every time we talk she encourages me and tells me this will happen, which is what I need to keep moving forward!

4 rounds of cookie or femera with my OB then 2 IuI with Dr. Reynolds that weren’t successful so we moved directly into IVF. Luprolide protocol didn’t go well so we canceled the cycle. 2nd cycle used antagonist protocol and I got 10 mature follicles with 8 fertilizing. 2 enbryos made it to day 5 so we transferred both. Conceived and misscarried around 6.5 weeks. 3rd round starting soon which we will do endo scratch and levenox injections in addition to the same protocol- praying this one works!

Very blessed to have a specific amount contributed to fertility care through my husbands company and able to run all charges through insurance. We are approaching anther cycle and will soon be completely out of pocket pay. We haven’t received a breakdown of costs yet but that has been requested.

She was very kind and understanding. She answered all my questions but when it came down to doing the things she said she was going to do, that just didn't happen. She told me to email her anytime but I never got responses.

Make sure you go into it knowing all the possible outcomes. I didn't know there was something called a guarentee program and I feel like I got screwed. I took out a personal loan to afford 1 round of IVF and now that that didn't work I have to figure out how to come up with a ton more money.

I started with taking birth control. Then had my baseline ultrasound. Things looked good so I started my injectable medications and did that for 9 days. I wasn't growing very many follicles about half way in so she upped my dosage and I started to respond better. I triggered on day 10 and then had my retrieval on day 12. Another doctor completed that procedure as Robertshaw was out of town. I was updated the day after retrieval, day 3 and day 5 as to how everything was progressing. I had a 5 day fresh transfer of 2 embryos. And then found out that none of my other embryos made it to freeze. I did not get pregnant and was left heartbroken and broke.

Each IUI was about $300. And the IVF all together was about $13,000. That's minus the meds for the IUI's and the donor sperm that I was using.

My dr wanted to just do 1 embryo because I was young and healthy but we ended up doing 2. First because it was a different doctor that did my transfer and secondly, because I only had 2 good looking embryos.

She’s amazing. She’s very good at her job and I would go back to her again and again. My body doesn’t respond as it should, and she very much tackled our case and tried everything she could to get us pregnant.

Trust her! She genuinely cares about you.

My body doesn’t respond as it should, so even though my levels were normal, I wasn’t producing many follicles at our old clinic. She did an aggressive treatment and really upped my meds (gonal f, menopur, lupron) to try to get as many as we could but even with the increase in meds, they were only seeing around 6 follicles, which made no sense! She canceled that round (which I’m very thankful for bc I didn’t want to go through a retrieval for only 6 since our embryos always arrest by day 5.) We reset and did a menopur only cycle and it worked so much better! We got 13 (the most I’ve ever had). 11 fertilized, we did a day 3 transfer bc the majority weren’t looking great. They didn’t take and the rest had arrested by day 5 again. By the time we had done this with her we were at the end of our 4th IVF attempt (having done 2 rounds at a different clinic.) So with her advising us, we have decided to stop trying via IVF.

Our IVF cycle cost around $10k, which was after a military discount (how cool is it that they offer that?!).

Dr Reynolds has supported our treatment from the start. She worked with us, our schedule, our finances to help us understand the prognosis and what would be next. She never 'did the same' again if it didn't work the first time, she always adjusted the plan of action.

Ask a lot of questions. You'll always get the answers, but it's important to know everything during these treatments!

Antagonist protocol. I wasn't as strong of a responder as expected so we had to crank up the drugs and go an extra day- but we ended up with 17 eggs retrieved. For both FETs we did lupron with progresterone - after a body rash during the FET, we added/adjusted meds for the next FET.

All based on insurance coverage! This is hard to describe, but the IUI were about $350 (plus meds). IVF 'package' was competitively priced and offered small discount for pay in full.

She encouraged 1 (as did embryologist) the first time - as they said it was beautiful. that failed, so she was ok with 2 next time.

Very caring and passionate about what she does as a fertility doctor. She takes the time to explain the risks and connected me with a trusted specialty doctor for my damaged tube surgery. Interactions with her can seem impersonal at times when they are busy and she was quick to suggest IVF after my surgeries. This was not the intent or my expectation, per previous discussions, as based on the results of my 1st surgery I was told we would be able to continue with IUI with more success.

Ask for THEIR practices' success rates not the general medical success rates which are quoted

Average dose of Letrozole was prescribed to help me ovulation consistently month-to-month initially. This was bumped up slightly prior to my first IUI. After the surgeries and my two failed IUIs, she wanted to prescribe me clomid over July 4th weekend although my insurance would not pay for it. Later I found out that it would have only been a few bucks out of pocket AFTER countless hours on the phone with the insurance company vs. doctors vs. pharmacy battles and ending up missing that cycle's opportunity. That is when we decided to take our break.

IUI was $400/each, ovulation trigger shots were $100, IVF was going to be appx. $8,000/each. I have no insurance coverage for fertility specific care.

No preferences. She stated the facts as black and white with statistics.

I have a tremendous amount of respect for Dr. Thie. I am confident that she wants the best for us. Before my first egg retrieval, she actually called my cell phone the night before to leave a message of encouragement in light of my estradiol results and to let me know that she was thinking of me. This is one case where bedside manner is really important given the emotional strain of infertility. That said, as a DOR patient, I am not always sure she is up on the latest treatment or protocol options.

Be prepared to wait and call the clinic to see if they are on time or not. If you don't want to wait to see your doctor, she is the wrong one. However, you are waiting because she gives each patient the time needed and will do the same with you.

So far everything has been great. Questions are answered each step of the way by her. She also provides treatment options and doesn’t try to push straight to one set type of treatment. Her level of care is great too, shows confide in finding a solution. For us it’s 2ndary infertility, MFi, so trying to make the pieces of the puzzle fit again to be able to conceive.

Just Ask lots of questions

So far diagnostic work and timed intercourse with femara. Results: so far ovulated but no bro yet.

So far with all diagnostic work and one round of femara and trigger after insurance $1,000. I believe cost of ivf is between $10,000-20,000

We have not gotten to that point but did discuss the risks of both options.

Her bedside manner is a big strength of hers but I feel like she didn’t adjust enough after the 1st failed cycle. I feel like the second was rushed. I don’t think my meds were lowered enough. Each cycle I hyperstimulated. I believe the high number of eggs really effected the quality of them.

Make sure you speak up and voice any concerns or confusion. Also make sure you are clear on all instructions before heading into your trigger. Don’t feel bad for calling after hours even if they make it seem like you are a hassle.

First cycle- fresh transfer with ICSI - hyperstimulated with 50+eggs, two day 3 embryos transferred Second cycle- frozen transfer with ICSI, hyperstimulated 50+ eggs, two day 3 transferred

16,000 for once cycle

I pushed for multiple and I’m glad I did even though the outcome was negative. She is really into only transferring one.

Very energetic and enthusiastic. Talks fast but tries to explan everything thoroughly. Clearly a busy doctor but takes the time to answer questions and be relational. When our first round of treatment was unsuccessful she was helpful in laying out all other possible options.

Ask lots of questions and don't be afraid to message her on the app. She will respond.

First she had me take birth control pills for 4 months to get my estrogen levels up. Then we started Menopur injections. The first round I responded too well and had too many mature eggs. Next we decided to try another round of injections but a lower dosage.

Dr. Reynolds is friendly and puts you at ease quickly. She is knowledgeable and helps you do understand exactly what the treatment is going to be. She would sit with us to explain what is going on and she had a positive attitude towards our goals.

She is great, so make sure you request her as your doctor if you are going to Bethesda Fertility Clinic.

I do not remember these, as they occurred in 2016- and first half of 2017

The one IVF cycle I did I actually won via a raffle with the clinic! (Too bad it didn't work). The IUI's and other procedures I think cost around 3-4K total, since my insurance covered a lot of it.

I do know know Dr. Reynold's approach to multiple embryo transfers. She only did IUI's for me.