Billings Clinic Reproductive Medicine & Fertility Care

Dr. Milroy has always made feel like I could ask any questions I had, that she always had time for me, and she always has taken the time to explain and when helpful, illustrate what she is going over with me so I can refer to it later. We have had to make a lot of adjustments to my treatment plans and change directions fairly quickly and she has been with me and beyond supportive every step of the way.

Become her patient because once you are, you are in very capable and kind, healing hands.

We started out with timed intercourse during tracked ovulation with Clomid as I had a low ovarian reserve. After that wasn’t working, she referred me for an HSG and we found out both of my Fallopian tubes were blocked. She wanted to perform laparoscopic surgery because one of my tubes looked inflamed. At the same time she did a hysteroscopy. One of my tubes had to be removed and the other couldn’t be unblocked so then our only option was IVF. We were moving forward with that but after another test to check my ovarian reserve and egg quality, found that my numbers had decreased rapidly and now was below the threshold of being able to complete an IVF cycle with my own eggs. At that point, we decided to pursue embryo donation as a way to grow our family. We had planned to do our first frozen embryo transfer in June 2020 but Covid-19 has put that on hold for now.

My costs haven’t been much yet other than office visits and my surgery and HSG test. My surgery was $7000ish, HSG test was $700ish, and office visits are $200ish. Infertility is not covered by insurance in MT so it’s all been out of pocket except my surgery because of the inflamed Fallopian tube.

Dr. Milroy met with us directly and explained all the options we were going to explore to find the cause of our recurrent miscarriage. She broke down and explained all causes behind infertility. After we had found our root cause of pregnancy loss, she helped us to navigate what was next and what our options were. She never left us feeling like we had unanswered questions. With tests following our initial visits, she was always prompt with getting us results. Through losses after we had met her, she had been very helpful and supportive.

Don’t feel hesitant to lay out all your concerns with Dr. Milroy. She is very thorough and wants to help you find peace in this journey to the best of her ability.

Dr. Milroy had set us a wide spectrum of blood tests to help determine what was causing infertility in both me and my spouse. We also set up a saline ultrasound to see if we had any plasma cells that may have affected our chances to carry a healthy pregnancy. When we discovered it was a chromosomal issue within myself that was causing our losses, she set up a meeting with a genetic specialist to help us get more information as we moved forward with our journey. When we had successfully conceived, she had a plan set up to help encourage a healthy pregnancy. We were asked to start progesterone and baby aspirin to as soon as we discovered we were pregnant. Multiple HCG tests were performed to see if our baby was growing as well as an early ultrasound. We were very thankful for how proactive she was in wanting to keep tabs on our pregnancy progress. While we were thankful for this, the cost of testing became very expensive and she was understanding as we had asked to stop with continued tests.

Many of my costs were covered by insurance. The overall bill was well over $4,000, but we were thankful for the thoroughness of tests run. We did not see more than $1000 go out of our pocket with insurance.

Dr. Milroy was very thorough and made sure to go over my blood work with me before starting the IVF process. She explained everything very well and was able to answer all the questions I had. She made me feel very confident through the whole process.

To relax and walk in knowing Dr. Milroy will make you feel welcome and comfortable.

Birth control and injectable’s for the egg retrieval (cannot remember the names). Retrieved 20 eggs and 3 made it to blastocyst. The transfer I took an antibiotic, baby aspirin, estrogen vaginally and PIO shots. The Estrogen and Progesterone were taken until 10 weeks pregnant. The transfer was successful and my pregnancy went full term.

My initial consult and blood work was around $500. Before I could start my egg retrieval process I had to pay $10,000 and the medication was around $1200. Before I could start my egg transfer I had to pay $3500 and the medication was around $1000.

My Dr. believed in transferring one embryo at a time due to the risk of multiples. She said with having endometriosis an IVF transfer would give me a good chance at becoming pregnant and we did not want to chance having a multiple pregnancy.

I loved that she was upfront and realistic when she shared information. She always kept a positive attitude which was important to hear, especially when I felt pessimistic. I felt like she was eager to learn about new treatment protocols and was able to customize my protocol based on that information and my previous protocols

Do what they say! Follow directions and don’t be afraid to ask questions.

Unsure.. I tried to not research online about the various protocols and just trusted my care tread. I recall my medications included ganirelix, Lupron, saizan, and my HCG trigger. FET protocols included estrogen and progesterone supplements.

Each cycle was roughly $15-20k and each embryo transfer was roughly $5k

We always chose to do a single embryo transfer and that was in line with Dr Milroy recommendations.

Dr. Milroy is wonderful. She took time to answer all my questions and even ordered extra testing for my peace of mind. She spent an hour with us during our initial consultation. Her bedside manner was warm and open. I didn't feel rushed or hurried.

Dont be afraid to ask questions or have her explain if something doesnt make sense.

We started (and are still on) meds and timed intercourse. Initially we started with clomid and T.I. plus progesterone supplementation(my husband wanted to go slow). After 2 cycles we added a trigger shot. After 4 more cycles we went to a hybrid cycle using cloud, gonal f, trigger shot and progesterone supplementation. We are on another round of that regimen. The hardest struggle is if I dont produce follicles on the ovary that has a fallopian tube, we dont trigger or use the progesterone and the ovary without a tube is the one that more frequently produces follicles. Out of the last 7 cycles, we have had 3 "successful" meaning I produced follicles on the correct side- but no pregnancies yet. We can go to iui at any point per Dr. Milroy or even fast forward to IVF

Initial office visit- about 350.00 Seman analysis- about 60.00 Lab results- over 500.00 Follicle ultrasound- 176.00/time Ovidrel shot- 87.00 Gonal F 300unit pen- over 250.00

Have not had this conversation yet

She has great bedside manner and a welcoming personality. She seems confident that we will be great candidates for DE IVF. She takes time to explain everything to me, and has come up with a wonderful treatment plan for my condition. She has broken things down for me on a real levels made things easy to understand. I'm eager to get started on choosing a donor!

Take a list of questions, and schedule a consult! I dont see how anyone would feel uncomfortable around Dr. Milroy.

We havent been able to start yet, but because I have autoimmune disease, she will use a protocol with Plaquenil. We will need to find an egg donor first. I also know they use ICSI.

My costs will be roughly 21-25k

We chatted about transfering one or more and she stated for me, they would transfer one. I am under 40 and have not yet experienced losses.

I would recommend Dr. Milroy to anyone going through fertility treatment. I always felt like a priority, and I felt that throughout the course of my treatments that my best interests were in mind. She is very knowledgeable and confident in the medical aspect of all fertility treatments. She is great at explaining in detail every step of a particular treatment.

Ask questions and learn as much as you can about the treatments that you are going through and what options are available because she will tell you everything you want to know.

IVF cycle: stimulation with Follistim and Menopur. Follicles slow to respond, so dosage of menopur was increased. Ganirelix was added from day 10 to day 14. Total stimulation days was 14, which resulted in a freeze all cycle. Double trigger was used (Novarel and Lupron). 13 eggs were retrieved, 11 mature, 6 eggs fertilized the traditional way (3 took), 5 eggs fertilized with ICSI (5 took). By day 3, all but one embryo survived, but all were very fragmented. By day 6 only one embryo had made it to freeze. Since I only had one embryo available, an ERA test was recommended. I did the test and the result showed that my lining was pre-receptive, so for my FET, 6 days of progesterone in ethyl oleate were used. During the ERA cycle, I found that I had a reaction to the Progesterone in sesame oil, so the compound was changed. My FET resulted in a miscarriage at 8 weeks.

The cost of my IVF cycle was $13,500, which included everything except for meds, which were an additional $3-4,000.

My doctor usually only transfers one embryo at a time, but will make exceptions based on what the patient wants and their individual case.

Dr. Milroy is absolutely amazing on every level. She is genuine in everything from her explanation of what is happening or going to happen up to her presence and smile. I never feel like she is padding an answer to save my feelings but is delivering good or bad news with compassion and heart. I can't imagine being this comfortable on this journey with any other provider.

Be honest, ask questions and take home her drawings for future reference.

Our first IVF cycle was pretty standard from what I understand. We retrieved 20 eggs and I stimmed beautifully but we lost all embryos. Our plan has changed for round 2 a lot and has encompassed 3 additional months of prep work for both myself and husband. Our hope is to overcome egg health, sperm health and sperm binding issues.

Egg retrieval was around $11,000. Medication was around $5,500 with our specialty pharmacy. I never made it to the transfer stage but I am told that will be $3,500 out of pocket and $500 for medication.

I understand the reasonings behind the single embryo transfer and the office explained it in totality.

When we first walked into the Dr. Milroy's office my husband and I didn't expect to get the answer we received that day. We had been going to my OBGYN who was there for our first pregnancy for almost a year prior before moving on to Dr. Milroy. While visiting with Dr. Milroy she started by going over all the factors that consider you in the category for infertility.. She was very open and honest with us about my lab results and even took some updated blood work because it had been 6 months. She told us right way about the devastating news that my blood work showed I was producing eggs at a 40 year old or older. This blood work let me tell you was the SAME blood work that was taken 6 plus months prior from my OBGYN who told us that everything was ok!! I'm very thankful that we found Dr. Milroy and was able to move forward with the right treatment. We tried 2 IUIs with injectables with Milroy even though she was open with us about the low percentage of it working. We are now waiting for IVF in June. We have had a great experience so far and I know it will continue throughout our journey.

That from day one she handwrites, draws pictures whatever it takes to explain the factors that determine your results to be in the category of infertility. She also gave me advice of some medicine to help me keep the eggs I do have left healthy. Dr. Milroy also keeps everything very positive but is also very open and honest about percentages and treatment that is BEST for YOU!

From my first visit up until now she recommend me take 1.5 mg of DHEA, 800 mg CoQ10, myo-inositol and a multi vitamin (to keep my eggs healthy). For my first IUI I was doing a shot at night of 75 follistim up until the point of needing the trigger shot. I was also given several ultrasounds and blood work to monitor the growth of the eggs. The same thing happened for my 2nd IUI but they increased my follistim to 100.

The injectable medication for the first IUI was around $800 and the rest (procedure, blood work and ultrasounds was around $1000) I had two IUIs done. I just started IVF and the medication I just purchased was $5,142.52. I won't be doing IVF until June but they told me the cost would be around $13,000.

I have not done any transfers yet.

Dr. Milroy was kind and knowledgeable regarding all fertility/infertility issues and treatments. She was honest with all our questions and answered questions in a direct but gentle manner. I have recommended this physician to close friends and will continue to do so.

As with any doctor, it is important to be open and honest about everything happening in your situation. I would also encourage patients to ask a lot of questions and not feel like a burden if you need more education or help understanding.

Diagnosis was unexplained female infertility, with a polycystic right ovary. A PCOS diagnosis was not given due to not meeting criteria for that diagnosis. The plan given to us was a first steps plan to induce ovulation with more options available if desired. Treatment plan included letrozole, trigger shots, progesterone supplement, IUI, and timed intercourse and a HSG procedure. No pregnancies were achieved with this regimen. Due to a personal decision, My husband and I decided not to go forward with any other recommend treatment.

Some of the costs were covered by insurance, for initial visit, HSG procedure, medications. IUI was not a covered procedure, I do not recall the out of pocket costs associated.

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Dr. Milroy is very thorough and meticioulous about the treatment plan. She is a good communicator and let’s the patients know if she sees something that may cause a problem. She was very straight forward with explaining the plan of care and how our embryos developed. Dr. Milroy is up to date on infertility research and welcomes any and all questions.

My top advice to a new patient of Dr. Milroy’s would be to be open and ask as lots of questions. Talking to Dr. Milroy decreased my anxiety because I knew her answers were accurate and not just what the internet said. Dr. Milroy also is a big advocate for mental health and not “loosing yourself” in fertility treatments. She may make a recommendation for you to go to counseling. Don’t be offended by this suggestion, just know she wants you to be the healthiest you can be. The same goes for the possibility she may ask you to loose weight. I trust Dr. Milroy more than any other doctor I’ve ever had care from. She’s very genuine and knowledgeable. Her passion is helping couples get their miracle baby! You are in the best hands with her as your doctor. Good Luck!

My first round of IVF was a standard protocol. Menopur and Follistim, with Generalix added in the last few days. My second round was Menopur, Follistim, and Lupron. I believe this was a stronger protocol. I also was asked to take DHEA 25mg three times a day, CoQ10 400mg twice a day, and Myoinositol 4gm every day for 90 days prior to my second IVF cycle to possibly improve my egg quality. Dr. Milroy was very straight forward and said that this cocktail of drug may help my egg quality but there wasn’t specific research to back it up.

I think the IVF costs were pretty standard. The payments for an IVF cycle is due a few weeks before your initial ultrasound and blood work. There is a lady who gives out her direct line to duscuss the exact amounts and she can give you information if you need a loan. She seemed relatively easy to get a hold of.

I’ve only had one, 1-5day embryo transfer. I didn’t want to take the risk of multiples, so never really asked to transfer more than one. I think Dr. Milroy would be open to transferring more than one embryo as long as the couple understood the risks associate with multiples.

Dr. Milroy was amazing. Through the entire process she made me feel “safe”. If that makes sense. Being 25 and going through this process, pretty much knowing that you have no chance of having a good outcome. But having Dr. Milroy tell me how good my eggs were responding to the meds and how great I was doing with the shots and being so informed on what I was doing, it made life so much easier. Our life was absolutely shattered when we found out I had premature ovarian failure. All I’ve ever wanted is to be a mom. I babysat all through high school/college because I love kids. Dr. Milroy understood that. She sympathized with that, even though she never had to go through any of this. She made this horrible, draining process so much better. Even when my eggs didn’t make it to the end (all arrested on day 6) she made me feel as if it was not my fault (even though every woman going through this knows that is EXACTLY how you feel; that it’s your fault.) She gave me a box of tissues and told me I did everything perfectly, even when I felt like I didn’t. She said she was proud of me, even when I was absolutely defeated and a wits end with myself and my failing body. She made me feel that I could try again, even if it wasn’t with my own eggs. She gave me all of the information without making me feel like an idiot. I knew what happened to my eggs, but she informed me anyways, in the easiest, least painful way possible. I would recommend her to anyone and everyone I could. Even though this process was something I wouldn’t wish on my worst enemy, I am glad I enjoyed the people who took care of me, including Dr. Milroy.

She is a warm, caring individual, but she will tell you the information you need to hear. She told me my odds were low, but that she had faith in me because of my age. Even though I failed, she didn’t make me feel like a failure. You will enjoy her, she is amazing at what she does!

Dr. Milroy saw my situation and decided we needed to go all in. She got me into the cycle that was starting next and we were in within a month. I took 6 shots a day. 3 in the morning and 3 at night. The shots were Lupron, Follistim, and Menopur. We checked in every other day with the clinic. Everything was looking amazing. My right ovary was growing like crazy, although my left ovary was not. We ended up having to do shots an extra day just to get a little extra growth on my left ovary, even though it didn’t do anything. We then went in for retrieval and got 3 eggs! We were so excited! We didn’t even think we would get one! However, my egg quality was absolutely terrible, so none of them made it. But I personally feel Dr. Milroy did everything she could for me.

We paid $9,000 for the egg retrieval and about $4500 for the medications.

I personally never made it to transfer, so I cannot comment on this.

She is absolutely amazing! She loves her job and her patients and it shows! She is very aware on how financially draining infertility can be and she was upfront that they are always looking for ways to help us cut down on the cost. She has made everything so far go wonderful and we are hopeful she will help us get pregnant!

Don’t plan on waiting hours, they are the most prompt office I have ever been too! She will also spend as much time as you need!

Approximately $16,000 for workup, egg retrieval and embryo makeup. $2,00-$5,000 for medications, $1,000 for initial visit, blood work and ultra sound/mach transfer.

Dr. Milroy is leans more on the side of eSET- it all depends on what grades your embryos get, but she would rather you have 1 healthy baby and come back in a year to get pregnant with another healthy baby.

Dr Shomento was very direct and to the point in our treatment which we greatly appreciated. By the time our ttc journey had brought us to an RE we knew we wanted someone that would be blunt and tell us what we needed to hear rather than just pacify us and tell what they thought we would want to hear. She always presented information tactfully and respectfully. Finding a weakness was difficult but I guess I’d possibly say her appointments could be scheduled slightly longer but overall we had plenty of time to ask any questions we had.

Bring a notebook to take notes, she is very thorough with her answers and I liked writing her answers down to be able to look back on it later.

At my initial consult I was on cycle day 12. Blood work showed I had an anovulatory cycle so Dr. Shomento ordered progesterone supplement to induce a cycle. I had one cycle of letrozole 5 mg cycle days 3-7 and I ovulated but did not conceive. Th next cycle I had letrozole 5 mg cd 3-7, dexamethasone 2mg cd 3-14. I had a midcycle ultrasound on cd 12 and also had a trigger injection that same day. 24 hours later I had an IUI procedure using my husbands semen. Dr. Shomento had previously ordered a semen analysis on him and all of his results were within normal healthy levels.

Our insurance only covered infertility diagnostic appointments, not actual treatment. I believe we paid approximately $2,000 in costs including hsg, lab work, medications, ultrasounds, IUI and semen prep.

Dr. Milroy has the heart of an educator, she made sure we knew exactly what she wanted us to know. She took pen to paper and drew what things looked like and explained why things are the way they are. It is very easy to see that Colleen loves her job and loves helping couples have a family.

Don’t be afraid to ask as many questions that you may have, she loves see couples coming in with lists of questions.

My wife was going through very early menopause and the first treatment was to get back on to birth control so as to start feeling normal again. The treatment was a success, my wife is feeling better and has stopped getting hot flashes.

We have not gotten this far yet.

Explained everything very detailed and specific to our situation. Spent ample time and answered questions as they arose. Explained all circumstances even risks associated. Follow up and course of treatment always explained. Felt she truly cared and was ingested in good outcome.

Don't be hesitant to ask questions, she allows you to be in charge of your own decisions but educates you along the way.

1st cycle lower doses of meds which ended up changing for second round after failed IVF. After IUI she made quick decision to move onto IVF making it easier to do trusting her with next steps. She knew my limits as a patient and adjusted after first round explaining rationalle..was truthful when things didn't go as planned but always had a plan to move forward.

IUI app 2000 packaged price Ivf #1 9000 retrieval, 3500 fresh transfer, 3600 meds Ivf 2 8100 retrieval (10%) discount 2nd round 3500 frozen embryo transfer 600 IRA biopsy 3800 meds

She only does single and feels there are too many risks associated with multiples

Stacy Shomento was genuine and caring every time I’ve seen her. She explained things clearly and always answered my questions. She made sure I had her contact information Incase if emergency or any questions after hours. I definitely felt like I was her number one priority.

To ask as many questions as possible at each visit. Become as familiar with the process as possible.

The dosage she used was based on my age and infertility diagnosis as well as my loss of one ovary. After a failed transfer we then did an ERA which came back receptive

$13,000 for the IVF cycle $4,500 for medication

She strongly advised us to use only one embryo. Based off of my age and egg quality

I loved seeing Dr. Milroy. She was great at explaining the details and being straightforward and honest with the procedures. She allowed me to have a say in my course of treatment. I was taking supplements that I preferred over the traditional medication and she was okay with that since my bloodwork was good. She listened to me and helped makes sure I really understood everything.

Don’t hesitate she’s great.

To start we did femara to help egg development and then I would get an ultrasound on day 12. If my eggs were large enough I would give myself a trigger shot and then do timed intercourse. I also would take progesterone pills starting a few days after intercourse to help prevent miscarriage.

Colleen was a cheerleader for us. Infertility is so hard. I felt like a failure not being able to conceive. She kept us going and helped us to not give up. Ultimately my partner had to carry for us to be successful.

We would choose her over any other provider.

It was expensive! Our insurance didn't cover much

She wanted us to only transfer one embryo at a time. She allowed us to transfer 2 after the first failed cycle.

Dr Milroy is an amazing doctor. She is so easy to talk to and makes sure you understand everything she’s going over. I felt like she really cared about me and my treatments on a personal level. I was very sad the day I had to move on to an OBGYN.

Trust her she knows what she’s doing

After my two miscarriages we continued the regular protocol with estrace and PIO injections but we added blood thinner injection and an immunosuppressant. With that I conceived my twins

Dr. Milroy is a strong communicator and excels at explaining procedures, timelines, and expectations. She is understanding and caring. Dr. Milroy is realistic and evidence based in her outlook regarding unexplained infertility. She helped us regarding our decisions that were influenced by financial limitations and lack of insurance coverage. We continue to work with Dr. Milroy and are thankful to have her as our provider.

25,000 per IVF cycle with PGS testing

"Dr. Shomento is amazing!" This is what I hear over and over again from many women in my community prior to my first visit. Of course I was fearful and anxious. I almost felt embarrassed, like maybe I should have tried harder before seeking out treatment. Dr. Shomento made my husband and I feel immediately at ease. She effectively communicated the first steps in assessment including bloodwork and an HSG. She used pictures/diagrams to further explain how reproduction works and what potential problems might be. She referred to sperm as "the swim team" and that much needed laughter has definitely made this process somewhat less stressful and hopeless. She was friendly, trustworthy and compassionate. The HSG was still the most painful exam I have had to date. Dr. Shomento provided comfort after my exam and next steps. She even helped to provide a reason as to why I have experienced syncope associated with the start of a cycle since I was 13. She definitely makes you feel as if you are her only patient and she is giving you all of her attention despite her likely busy schedule. I could not be happier with my experience thus far and even though my journey to motherhood is far from over, I feel so much more hopeful knowing I have Dr. Shomento with me every step of the way!

One piece of advice I would give to a prospective patient would be that you can finally take a deep breath because you are about to embark on a journey (hopefully a short one) with an amazing woman and doctor who has your best interest at heart. I know how long you have been holding your breath, just waiting for that positive result. It may not come in the timeframe you want but it will come.

I went to an OB initially. An exam was performed to r/o abnormal Pap and STDs as well as check positioning of cervix and uterus. My husband completed a sperm analysis. I completed day 3 and day 21 labs. Labs showed that I did not ovulate that cycle. I was strarted on Provera to induce a period. Then, I was started on 50 mg Clomid, unmonitored, days 5-9. Because I did not receive a positive OPK that month, the Clomid dose was doubled to 100 for 3 more cycles, days 3-7, with no success. It was then that I was referred to Dr. Shomento in Fall 2019. Our initial consult with Dr. Shomento consisted of: ultrasound to check the ovaries and uterus as well as more bloodwork and a scheduled HSG test. My bloodwork and ultrasound were questionable for mild PCOS. The HSG revealed a blocked L tube where it attaches to the uterus. This was either due to: a previous pelvic infection or endometriosis. The treatment strategy options presented were: 1. Surgery, 2. IVF, 3. Do nothing (try naturally). I opted for surgery which involved: a laparoscopy and hysteroscopy under anesthesia in Dec 2019. I was told at my post-op that I had stage 2 endometriosis. The L tube is functional and appears normal-looking, however continues to be blocked. She opted not to remove it. My next options were: 1. IUI, 2. IVF, 3. try naturally. All three were explained in-depth, as were the success rates. Our insurance has a specific clause stating they exclude any infertility diagnoses/fertility treatments. Thus, our treatment to date has been an out-of-pocket expense. My husband and I opted for 3 cycles of IUI before re-evaluating. Our first IUI cycle consisted of 5 mg Letrozole, day 11 ultrasound to check follicles and 250mg of Ovidrel on day 11. I had 1 20mm follicle in my right ovary. Our IUI was performed on day 12. This cycle resulted in chemical pregnancy. Our second IUI cycle consisted of 7.5 mg Letrozole, day 10 ultrasound to check follicles and 250 mg of Ovidrel on day 10. I had a mature follicle in each ovary. Dr. Shomento stated that my uterine lining was thinner than desired during this IUI and we would change the plan for the next IUI to include daily injections. This cycle resulted in a negative home pregnancy tests. My third cycle began on Saturday March 14, 2020 and the clinic cancelled all elective procedures in response to COVID-19 on Monday March 16, which would have been my appointment for a day 3 baseline ultrasound to start IUI cycle 3. I am not currently taking any medications and the clinic remains closed for all elective procedures at this time.

As stated previously, our insurance does not cover infertility or treatments associated with infertility. The HSG test was an out-of-pocket expense of approximately $1200. This was the first large expense incurred. Much of our first office visit with Dr. Shomento was covered as it was billed as "irregular periods". The laparoscopy was an out of pocket expense of approximately $3000. This was a medically necessary procedure and thus covered by insurance. I have had 2 IUI cycles, each with 1 ultrasound and 1 Ovidrel trigger shot. Each ultrasound is $175 ($350.00 total) and each Ovidrel trigger shot is $200.00 ($400.00 total). The IUI procedure is approximately $380.00 ($760.00 total). We are planning at least 1 more IUI cycle prior to moving to IVF which is estimated to cost between $15,000-$20,000.

I have not had this yet.

I believe knowledge is power. I came to my initial consult with Dr. Shomento well informed regarding my infertility journey. I also consider myself a very direct individual. That being said, Dr. Shomento is also a direct (a warm supportive type of directness) and well informed (obviously more than me in RE :) individual. That being said, our personalities fit very well. Dr. Shomento is a straight shooter and you never question where you stand in regards to success of treatment and possible barriers. I showed up to my initial consult with a full fertility work up, HSG, and 6 months of Clomid/Letrozole/IUI's with my OBGYN. In my initial consult, Dr. Shomento had a well thought out plan and was so thorough she answered 90% of my questions before I could ask them. She is research oriented and was able to back up everything she stated with statistics. In any appointment or phone conversation she made sure I always left feeling comfortable with the plan and knowledgable regarding the situation. Overall, Dr. Shomento always made me feel comfortable and knowledgable regarding my treatment. Daily questions and updates were done with the nurses but anything big and/or difficult to discuss was always done with Dr. Shomento.

Infertility is strenuous both physically and emotionally. In regards to any RE make sure you pick one that is up to date on current research but also one that you connect with and feel comfortable being yourself around. For me that worked with Dr. Shomento. She is kind and compassionate and responds well to her patients being well informed. If you ask in-depth questions and come prepared you will get a lot out of your appointments.

I did one round of IVF with Dr. Shomento. Egg retrieval was the antagonist protocol. At first my eggs were not developing as quickly as they would have liked so Dr. Shomento increased my medication and things corrected. Dr. Shomento noted no need to do PGS testing (due to my age) but I'm paranoid so I did it anyway. Dr. Shomento was right and all embryo's were genetically normal. I also opted to do Endometrial Receptivity test, and was pre-receptive and was recommended to do one more day of medication before my frozen embryo transfer. FET was recommended due to success rates increase and PGS testing. A saline sonogram was also completed. I live in Wyoming and therefore, many of the monitoring and saline sonogram was done by my OBGYN in coordination with Dr. Shomento. Dr. Shomento's flexibility in working with my OBGYN was helpful in reducing travel. Due to the quality of my embryo as well as age I was recommended to transfer one embryo, which took and I am now pregnant.

$15,000.00 for IVF cycle (egg-retrieval, monitoring, and transfer) $6,500 (Medication) $1,375.00 (PGS testing) $600.00 (ERA Biopsy) $1000.00 (outside OBGYN appointments for monitoring etc) (such appointments are not necessary and covered under IVF cycle if you live in MT)

In my opinion, Dr. Somento's statement of "one happy healthy baby"... is a great thought process. More babies = more stress on the mother, marriage, and finances. If it works for you to have eSET then overall its the safest option, in my opinion.

Dr. Shomento was great. I felt she was caring, kind, a good listener, she was thorough in helping me understand my situation, and was respectful as well. I really liked her, and if the decision for where to do IVF was purely based on the doctor, and their likability, I would hands down go to her!

Do your research ahead of time and come with questions. Expect to spend a good amount of time with Dr. Shomento, who will be straight forward and thorough, and take time answering your questions.

I saw Dr. Shomento for a consultation. She walked me through my numbers and odds of getting pregnant naturally (not good) as well as with treatment. With only one tube, an ectopic pregnancy in my past, a low ovarian reserve, and low follicle count, she pretty much jumped right into recommending IVF as my best option to have success in becoming pregnant. She was also blunt about the odds of likely only getting one egg out of one IVF round, based on only having 7 follicles, but felt very confident that if we did get one, it should implant successfully.

The way they billed the appointment for a visit and ultrasound, insurance didn't cover much, and My bill is around $591. I have been to other doctors, done the exact same things, and only had to pay a copay. I'm requesting they re-evaluate the appointment and see if they can code it differently for more coverage, but have not heard back.

She suggested only doing one embryo transfer with me, which makes sense, since I am young and have a healthy uterus, and would rather not end up with twins.

The first time that I met her, we went over my history and reviewed my most recents tests, particularly the HSG that caused me to be referred to her. She went over all of the options, the potential outcomes of each option, and always had amazing analogies to help me visualize and really understand all of the information. She made me feel at ease from the very beginning by being so personable and relaxed. She spoke to me like a human and reassured me in all of my decisions

Give her a shot! She’s absolutely amazing. This field is so difficult but she navigates it with expertise, even among the difficult decisions and outcomes.

Due to PCOS I was on a fairly low dose protocol. For my egg retrieval I was on Ganirelix in the morning (3 days at the beginning to suppress my ovaries, then started again towards the end of stims to keep me from over stimulating at the last minute - total of 8 doses - these come as pre-filled syringes), menopur in the evening daily (started at 75?mL and then increased to 150mL around days 6-8, then back down to 75. It was 1 vial and then up to 2 vials) and follistim in the evening daily (varying 100-150). Dr. Shomento or one of the nurses called me every day after my appointments to update doses based on blood draws and ultrasound findings. For trigger I did Novarel as an IM injection and Lupron subcutaneously. For post-retrieval I was on oral meds - Cabergoline (I think to help with OHSS risk) and antibiotics. Resulted in 26 eggs retrieved and no signs of OHSS.

Overall, my stimulation meds cost $2,700 AFTER insurance and medication discounts available. The egg retrieval and monitoring were a flat rate $10,000 since most insurances don’t cover it. Embryo transfers were $3,500. Embryo transfer meds were about $1,000 per month. I didn’t account for the extra cost of meds when the transfer works so I didn’t think about two extra months of paying for medications.

We only transferred one embryo due to my age and diagnosis. There wasn’t any reason to believe that one embryo wouldn’t be sufficient.