CCRM Boston

Dr. Styer was very warm and understanding. He was patient and answered all of our questions. He thinks outside the box and was willing to try things that other clinics would not. He is very intelligent and trustworthy, we couldn't have been happier under his care.

Don't be afraid to ask questions, he is happy to answer all of them! He wants you to feel comfortable and educated on the treatment you are receiving.

I have poor egg quality. Other clinics were pushing us towards donor eggs and I had read about other things to try before we pursued that route. We wanted to try everything we could using my own eggs and if it didn't work, we would move onto donor eggs, knowing we gave it our all. Dr. Styer did two cycles with my own eggs (we had done 4 at other clinics), trying things like HGH and clomid. We did get one beautiful looking embryo, however, it tested abnormal. After we accepted that IVF with my own eggs was not a possibility, we moved onto donor eggs and are so happy that we did.

For cycles with my own eggs, we were covered by insurance. We paid out of pocket for donor eggs, but since we used a donor from CCRM's database, the cost was less than using another bank.

For our two donor egg transfers, we transferred one embryo each time. The first cycle we only had one embryo, so there was no need for a discussion. For our second transfer, we personally did not want to transfer more than one, so we were comfortable with his suggestion of a single embryo transfer.

Dr. Zimon is extremely thorough, highly intelligent, compassionate and was willing to work with my particular situation. She was willing to engage with my ideas (both from research and from my previous experiences with other doctors) and never made me feel like I was being difficult or stubborn. Even though she is compassionate and passionate about success, she never sugar-coated the situation and was always realistic about expectations (even when it wasn't the easiest thing to hear). She was rational about what results we might expect and most importantly, though confident and optimistic, never over promised on what could be delivered. I've had the experience of overly confident doctors and let downs, and I would much rather Dr. Zimon's approach. She absolutely made me feel like a partner during the whole process and I really appreciated it. She listened to my concerns and ideas, explained hers and worked to find a way we could meet in the middle if there were differences. I saw her at almost every appointment, she did all of my retrievals (not my IUI on my converted cycle - that was done by a wonderful nurse) and I always felt she was fully invested in my success. I highly recommend her.

Don't be afraid to ask questions or for what all of your options are, Dr. Zimon is always willing to explain the process and reasons behind the treatment process and protocol.

I did three cycles with Dr. Zimon at CCRM. I have fairly significant DOR as well as male-factor, because of this, the first two were banking cycles, and the third was intended to be a fresh transfer. We agreed to an early freeze on the first two cycles. For the first cycle I did estrogen priming with micro-dose lupron cycle with max stims of Menopur and Follistim and omnitrope. We retrieved 5 eggs, of which 3 were mature and 2 fertilized and were frozen. The second cycle (another banking) was again estrogen priming with max doses of Menopur, Follistim and omnitrope, but we used clomid instead of the micro-dose lupron. We retrieved 5 eggs on that cycle of which 3 were mature all fertilized and were frozen. The following cycle was to be a complete cycle with fresh transfer. We went back to the micro-dose lurpon cycle and dropped the Menupur and Follistim down to 225/225. Unfortunately, due to my DOR I didn't respond as well and only one follicle developed. We planned to retrieve it, but it became ready to ovulate so instead we did an IUI - which worked!

Because of our insurance we had treatments mostly covered, but had to pay out of pocket for medications. I believe they were approximately $8000 per cycle.

I didn't make it to a transfer, but Dr. Zimon is a proponent of elective single embryo transfer.

He is very detailed and makes sure you leave every visit with no questions and in a good headspace. He truly cares about his patients and the end goal whether that is your own biological kid or not and has helped me view donor eggs as a good thing

Make sure to ask questions if you need more explanation and always have an open mind. Dr.Styer was the second doctor I went to as the first had bad bedside manner. Even though Styer gave me the same medical advice, I felt much better in his care

He recommend egg donor IVF as my only option. I am in early menopause at the age of 30 with little TL no reason why. Dr.Styer communicated that everything looked good for me to be able to carry a healthy pregnancy with donor eggs. We have not started treatment yet due to cost but once we can, we will be using Dr.Styer

The costs for diagnosing and consult are very reasonable is comparison. We had to use a third party social worker to do a meeting to approve us to use donor eggs mentally and that was around $400 I believe. My insurance covers the IVF process but the PGT testing was maybe $3,500 and then I have to work with donor egg agencies for that cost but typically $17,000-40,000 depending on fresh or frozen

I can't imagine that someone could run a clinic with the way he speaks to vulnerable patients. His behavior is rude, he doesn't listen, isn't compassionate. Is forceful about doing IVF. I felt like I was in a sales call more than seeing a highly specialized doctor.

If it doesn't feel like a good fit or you are being heard, I would avoid him. I see that many people have had positive reviews and if you are one of the people being treated respectfully by him then it makes sense to choose him as a provider.

I only had a consult with him

Dr. Styer took me on as an advanced-age person who wanted to freeze eggs when other clinics wouldn't work with someone my age (39). I felt like I got a lot of optimism out of that; after 2 paid-out-of pocket cycles, realism set in. A bit later when I was ready to use the eggs and pair it with fresh IVF cycles with a partner, Dr. S. then did 2 more cycles with me. In the end, everything failed. I have mixed feelings about the care, because of that. The egg retrievals didn't work very well even at the freezing stage (I got 3 and 2 eggs), but I got insurance to kick in for 2 more cycles so we went ahead and tried them. Oll that, we never made a euploid embryo. It leaves me wondering whether we ought to really have done all that, or ended earlier to avoid risks/suffering/disappointment. After four rounds, Dr. S told me that he didn't think there was a good enough chance to go forward with any more IVF and we moved to donor eggs. That part of the process was far smoother. Dr. Styer was very clear, nice to speak with, personable, and had a lot of expertise. At times, though, it felt hard to gauge whether he thought this would all actually work, vs him seeing insurance coverage and being willing to give things a try even if the odds were very low. All that said, I have recommended him to others. I really did like him and felt like he gave me good care.

Try to push him for realistic odds of success to inform your decision making.

He changed my protocol each time to try and increase its success, which I appreciated. Relative to some friends who've done IVF, I got the sense that I was on more medication than they tended to be. I don't know if that's good or bad, just an observation.

Egg freeze cycle ~$15K per cycle, all included. Egg freeze $1K per year but waived the first year. For me, the rest was covered by insurance.

We did SET (donor eggs) of one embryo, which we agreed on. We had one M and F of equal quality and they let us choose, although in the end, we let the choice be random.

I really liked Dr. Styer at first. He wasn’t the warmest doctor, but I appreciated his directness and I felt like I was in good hands. However, after my close to failed egg retrieval (where I believe the clinic triggered me too early) Dr Styer took no responsibility for the failure and suggested changes to my treatment that weren’t addressing the right issues. He also lacked empathy and compassion - while I realize doctors need to stay neutral and direct, at my post-egg retrieval regroup I was clearly devastated and shocked with results, and Dr Styer breezed over my feelings completely.

Be prepared with your own research and treatment suggestions, and do not expect much compassion.

I have PCOS so I do not ovulate on my own. I started treatment with several cycles of letrozole and ovidrel trigger shot, 1 of which ended in a chemical pregnancy, and the others failed. I then moved onto IUI where I again took letrozole with trigger shot with the insemination, which also failed. I moved onto IVF priming with birth control pills. I started stims during the menopur shortage, so instead had to use low dose HCG. I did 2 injections of Gonal F, 1 of low dose HCG per day for the first 5 days, then reduced my Gonal F dose on day 6. I also started cetrotide on day 5. On day 6, I had 22 measurable follicles and several antral follicles. A few of these were above 18mm so CCRM told me to trigger on day 8 of stims, which I believe was too early. I did Lupron + HCG trigger shot for my trigger and started on cabergoline to help prevent OHSS. My retrieval was on day 10. Only 8 eggs were retrieved, 5 mature, 3 fertilized, 3 blasts and only 1 PGT normal. From seeing 22 measurable follicles on my final monitoring appointment to only getting 1 normal embryo, I was beyond shocked and devastated.

Monitoring was very efficient and I was usually in and out within 20-30 minutes.

Dr. Styer has excellent reviews, but my personal experience with him was very negative. He was always very rushed in our visits, seemed annoyed when we asked questions, and did not at all feel like a partner in this process. When our first protocol did not work he blamed it entirely on egg quality (saying "maybe your eggs are just worse than we thought") and he did not seem invested in finding another protocol that worked for us. We ultimately went back to our original doctor and were able to create a number of euploid embryos with a different protocol (and had a drastically better patient experience).

I would recommend that they look elsewhere despite the fact that he's well known.

First round: lupron flare with estrogen priming, no blastocysts. Second round: antagonist protocol with estrogen priming and clomid, one aneuploid day 6 embryo.

Insurance covered most everything, not calcium ionophore or PGT-A testing.

strong preference for eSET

Dr. Ryniec is thoughtful, intentional, and kind. She tells it to you straight and understands the complexities of the processes and insurance and is the best at guiding you through it all. I've really enjoyed working her and she's been a wonderful doctor.

Check out her TikTok! Lots of useful information on infertility and fertility treatments.

I'm early in the process, but I've gone through all of my fertility testing and will be starting IUI this month. So far I am undergoing unmedicated IUI, so there isn't much to report on yet.

Dr. Ryniec didn't blink an eye that we were a queer couple and was really helpful in advising on sperm donors and insurance.

I'm lucky that my insurance covers most of my costs, so I'm paying copays and up to my deductible / out pocket max.

From the first consultation to prepping for the retrieval and transfer I knew what our next steps were. Going through IVF always requires a bit of research on your own, but I was willing to just put it all in his hands and see what happened. I figured he certainly knew what he was doing, and I’m glad I just went with his plans for treatment. Everything was explained and he was always willing to answer any questions I had. I trusted him, and it all worked out. We’d had a few miscarriages before trying IVF, and he was always up front about statistics etc.

Trust him, do your research, but realize he knows what he’s doing. If what you’re doing isn’t working, he’ll switch it up.

I was on an antagonist protocol with estrogen priming since I’m a little older. For my transfer prep, I was on Lupron and estrogen. I had a thin lining so he would tweak my dosages and how I could took the meds and he got it to where it needed to be.

Insurance covered everything except PGT testing. We paid 4K for that out of pocket

There was never a question that we were going to transfer more than one embryo at a time.

From the moment my husband and I consulted Dr. Styer, we knew we would be in the right hands. During our initial consult, he laid out everything out from our medical history and then described how he would proceed. He was extremely clear and had a meticulous plan laid out and left us with very minimal questions. We are male factor, and our first retrieval ended up with 19 retrieved eggs and down to 2 embryos and 1 CCS normal. Our original plan was to do a frozen transfer, however, during our regroup he extended the offer of doing another retrieval to embryo bank (since our insurance approved). He went over everything with us and answered our questions. Ultimately, we decided to do another retrieval cycle which we got 26 eggs retrieved and ended up with 3 more CCS normals! He essentially told us that because the sperm is our major issue, it's a "numbers game" and his plan to stim me a little higher to get more embryos worked. Of note, at my prior clinic we ended up with 3 poor quality blasts (BC/CB grades) which ended in a miscarriage and a biochemical loss. At CCRM we have MUCH better grades (ABx2, BA, BB) I recently had an embryo transfer and just graduated the clinic. My husband and I wish we could take Dr. Styer with us as our OB. A girl can dream.

Set up a consult! I wish we had skipped our first clinic and started with him!

Cycle 1: Antagonist protocol: OCP x 21 days, FSH 150 IU hMG 150 IU, dexamethasone, Lupron + hCG co trigger, Ca ionophore, ICSI Cycle 2: Antagonist protocol: OCP x14 days, FSH 225 hMG 150, dexamethasone, Lupron + hcg co trigger, calcium ionophore, ICSI

We were fortunate to have insurance cover the majority of costs. We added in calcium ionophore to help with fertilization which was $500 per cycle. We opted to do genetic testing which was about $3500 per cycle.

Given my age, embryo quality and CCS normal, single embryo transfer was performed

My biggest issue with Dr. Zimon is that she was sometimes unclear with me, like about when and for how long I was supposed to take certain medications. This led me to make mistakes and screw up my care. I was on a timeline, so this was problematic.

Write down her instructions and ask clarifying questions.

$7730 for the egg freezing. My insurance covered the visits, lab tests and some of the medications.

I initially saw Dr. Styer in 2015 when he was at MGH and was able to have a son while under his care. I returned to MGH in 2018 but did not have a good experience and decided to follow Dr. Styer to CCRM even though it was a significant commute. He was able to problem-solve why my first IVF was unsuccessful and how he would alter my treatment plan. Between two retrievals, I ended up with five ccs normal embryos. I had multiple failed transfers but Dr. Styer changed something each time and I felt that he was genuinely invested in my success. He ended up mimicking my IUI cycle where I conceived my son and I recently was able to graduate from the clinic. Dr. Styer is the RE to see in the Boston area. He’s incredibly caring but also informative and open to questions about treatment. He never once suggested donor eggs or surrogacy and made it clear to me that we would find a way to get me pregnant. I can’t thank him enough for not giving up on me.

Just set up a meeting and connect with him. He’s incredibly informative and willing to work your case.

Two antagonist protocols and added HGH to second retrieval cycle. Also added letrozole to increase second wave of eggs.

Insurance covered everything but ccs testing.

The clinic prefers single transfers, which we were in agreement with.

Dr. Zimon's enthusiasm for her work is evident, and you can tell her mind is always working while you communicate with her. I always leave feeling hopeful, but with realistic expectations. She seems to truly care about her patients and has great bedside manner. I have never once questioned the calls she has made about my care, and having seen two doctors before her, I am aware that having confidence in your physician makes all the difference with your comfort during the IVF process.

Ask lots of questions, and don't be afraid to confirm your understanding of the process. It's your body, and the entire process can feel daunting and overwhelming, but having knowledge is key.

I really liked Dr. Zimon. I felt that had a good bedside manner and was friendly. During our initial consult and regroup appointments (both virtual) she took the time to explain everything to us and answer any questions we had. While I had done a decent amount of research prior to starting at CCRM my husband was totally clueless and she did a great job of explaining things to him. I did find that these virtual appointments felt a little rushed but not to the point where I felt that I couldn't ask questions. I only saw Dr. Zimon in person twice, once for diagnostic testing and once to confirm my pregnancy with an ultrasound. In both appointments she was friendly, personable and talked me through the steps (especially with the diagnostic testing when I was incredibly anxious). I always found it very easy to talk to her.

Don't expect to see Dr. Zimon except for when you're appointments are strictly scheduled with her. While I knew I wouldn't see her every single time I expected to meet with her more often than I did.

We were diagnosed with unexplained infertility. Dr. Zimon suggested we start with medicated IUI cycles before jumping into IVF, which we agreed with. She had suggested that I take letrozole but I had already done 3 rounds of Clomid with my OB and since I had ovulated with that mediation we decided to stick with that. For both rounds of IUI I used an Ovidrel trigger shot. Our first round failed but our second round was successful!

Our insurance covered our appointments at CCRM. We were responsible for copays which on the high end were about $150 (multiple blood tests). Usually our out of pocket costs were around $15-$30

Dr. Zimon creates specifically individualized treatments for me and I know I was not treated like everyone else. She evaluated my PCO(S) and explained what it means to not have the (S) Syndrome. She works very hard to help me out to the best of her ability and even reached out to the Colorado headquarters of CCRM to ask about clinical trials they are doing for PCOS and whether I could participate.

Dr. Zimon will truly listen and take your thoughts into account before creating an IVF or embryo transfer plan so please share all of your thoughts and any research you have done.

She used very low dose for egg retrieval IVF cycle and each time she has lowered the doses as I respond dramatically to the medications. During embryo transfer she did a histamine protocol which included Claritin, Pepcid, baby aspirin and vitamin A.

$15,000 - $20,000 IVF cycle w/ ICSI, Genetic Testing, etc.

My embryo's were genetically tested therefore they should have worked. Putting two embryos in could have put me at a high risk pregnancy carrying twins.

I have only positive things to say about Dr. Styer and my experience being his patient. I really couldn't have asked for a better doctor and would absolutely go back to him again if need be.

Try to relax because you are in good hands.

Because of my age and number of miscarriages, we went right to IVF after doing many tests. There was nothing to indicate why I was miscarrying other than my age. I did the work up, then the egg retrieval and genetic testing, then the transfer about a month later.

I never had a problem scheduling appointments and I very rarely had to wait.

about 6K

Dr. Styer was very upfront with me that he would only transfer one embryo at a time, and he went over the rationale and potential complications. I was very relieved, actually, to not have to make the choice.

Personable Doctor who seems to genuinely care about his patients. He is pretty good at explaining the process, the next steps and what to expect during treatment. The only thing I found concerning was the push for genetic testing. I felt like it was presented more for their benefit than for ours, but it could just biases.

Discuss if genetic testing is the best way to accomplish the end goal in detail with him. We felt like if you had a large quantity of eggs, it would be a no brainer, but otherwise it's a gamble.

We had a fairly standard protocol from what we could gather. We had extra vials at the end of the retrieval, because one vial was go for a few days.

In MA the costs are covered by insurance, but we had co-pays for visits and medications. The only thing not covered by insurance is the genetic testing at 3K per test. They are pushy about doing that genetic testing, and don't offer any sort of financial assistance. A 28% APR loan is NOT financial aid, it's highway robbery.

Felt accurately educated on the pros and cons. No real concern.

Dr. Zimon is phenomenal. She was patient, compassionate, explained everything well, and was confident yet realistic. The difference in her practice (as opposed to the ivf factory style practices) was most pronounced at the retrievals and transfers. The retrievals were calm and smooth. Once I was the only patient there for retrieval, and the other time I was one of two. This is a world of difference from the factory clinics where you feel like you are on an assembly line. During transfers at the factory clinics, I was told I had a weird bend in my cervix and they had a difficult time and used various catheters, which made the process stressful and uncomfortable, and had us leave right after. At Dr. Zimon’s practice, she noted that the bend was due to my bladder being too full, removed all the equipment, she and the embryologist waited in the room while the nurse took me to the bathroom to partially empty, and then started anew and the procedure was easy, then they let us stay in the room (reclined) for as long as we wanted. The factory clinic didn’t have the time to do what was needed to correct the situation and let me suffer instead.

Don’t hesitate to make an appointment!

I had previously done three rounds of ivf at another practice resulting in few (1-3) mature eggs each cycle, fresh 3 day transfers due to the low number of embryos, and none that made it to day 5 to test/freeze, resulting in a single clinical pregnancy. Dr. Zimon expressed great confidence in CCRM’s lab (which they are known for) and I reluctantly agreed to a five day freeze all cycle to test, even though historically that meant no embryos for me. We got two chromosomically normal embryos from the first retrieval, and did a second freeze all retrieval before doing a transfer for fertility preservation, with the same results! Dr. Zimon did a frozen single transfer of the best quality embryo of the four and it resulted in my daughter, and we have three more embryos in storage .

Insurance covered all but the genetic testing

Dr. Zimon felt strongly (it may have been a requirement, I can’t remember) that only a single embryo be transferred if it was a day 5 with genetic testing because the likelihood of pregnancy was relatively good and the potential complications that could result from a transfer of multiples was too great. I was convinced.

Dr. Styer was always enthusiastic and positive when we were having a bad day or days. He went out of his way to make us feel comfortable by explaining everything in detail and even went as far as drawing things out for us as well. We felt very empowered by him to dive into this journey without fear and without and any regrets.

I would say that you can feel that he always has your best interests as his priority and will do all he can to make sure you have the best success.

Cetrotide, Gonal F, Menopur, genetic testing of embryos and frozen thaw transfer of normal embryo

It was great because they scheduled me to see Dr. Styer most time. I also saw his partner a few times as well and she was great too! Since the docs to the ultrasound, they give you feedback immediately. It is very nice!

All was covered

He advised that single transfer is as effective as two and is safer in certain patients. And he was right!

Dr. Styer and his staff were so very responsive to our phone calls and to our portal messages and they really showed us a "world class" experience and were so sensitive to us and really go us to pregnancy quickly.

I would just say that you can feel empowered to ask him and his staff questions. They are great about answering all of your questions and making you feel listened to. They really care!

Gonal F, Menopur, Cetrotide

It was great experience. I got to see Dr. Styer at each visit and go feedback from him and the nursing team then.

all covered by insurance

Yes, he was a big advocate for single embryo testing. We did genetic testing on embryos and we transferred one normal one to reduce risk of twins for my safety

Dr. Styer is an exceptional physician. I just completed a retrieval and learned there are no eggs to send off to test. Despite this, I believe there is no other doctor I would want to treat me. There is no doubt in my mind that he is doing everything he can to help me have a baby. He is encouraging, thorough, treats you as a partner, and thinks critically at every turn how he may adjust for a better outcome. His communication skills are spot on. I can also tell he is skilled at reading people. He knew just when he might offer a little more detail or assurance. He is warm, friendly, and understanding. He makes you feel like he’s truly rooting for you. Trying to conceive has been a long and difficult journey. If we try another cycle and it doesn’t work, I will know I received the best treatment possible, without a doubt.

Don’t hesitate. You’d be in great hands.

Agonist protocol (estrace, clomid, hgh, gonal f 300, menapur 150, cetrotide, double trigger (lupron and novarel)

We have some insurance to help with the cost but it’s minimal. We paid out of pocket for all meds and any pgs/ccs testing we would have done

We didn’t get that far

Dr. Styer was smart and friendly. He explained things clearly and with compassion. We never felt like a number. He was confident that we could get pregnant but was also honest in regards to what it might take. I felt like the care I was getting was absolutely individual to me.

Don't be afraid to ask questions in your consultation or via follow-up. Dr. Styer is happy to take questions via phone or you can use the portal. Ask whatever you need to be comfortable.

Paid out of pocket for CCS

eSET

Dr. Styer showed compassion and knew who I was at each visit. He had honest conversations with us, providing pros and cons for each treatment/procedure/option without swaying us in a specific direction, gave us the time to ask all of our questions and talked to us in a manner that we could fully understand. Dr. Styer as of date has completed all of my ivf cycle ultrasounds, the pre ivf procedures and egg retrieval procedure with the exception of two weekend visits that I saw another doctor.

Take the time to ask all questions and voice all concerns, Dr. Styer will take the time with you without making you feel rushed in any way.

Ivf fresh cycle - gonal-f, menopur, cetrotide, pregnyl trigger shot, Lupron trigger, cabergoline. - 12 eggs, 6 fertilized, 4 embryos at day 7. Day 7 embryo biopsy for comprehensive chromosome screening (due to 3 failed fresh cycles and 1 frozen cycle resulting in 1 chemical pregnancy and 1 miscarriage ) CCS result- all four embryos with normal chromosome. Plan for two embryo frozen transfer. Currently completing Lupron injections started at 10 and now at 5 units and estrogen patches, started at 1 and now at 3. Plan for IM progesterone and endometrin progresterone prior to frozen transfer which is scheduled in 15 days

My cycle is covered under insurance with 80%co pay. We have paid ~$400 so far for appointments. Do to copay majority of my fresh cycle medications were out of pocket ~$2,500. CCS testing and freezing the embryos were not covered by insurance and the out of pocket cost ~$5,000. To complete the actual transfer from the frozen embryos ends up being another cycle and with my insurance it makes more sense to pay out of pocket ~$5,500 and the cost of meds that are covered by insurance were ~$400 copay

Due to our history Dr. Styer provides pros and cons of single vs multiple embryos transfer without swaying us in one way or another. We have decided to complete a two embryo transfer

Dr Styer is the second ivf doctor my husband and I have been to. He differs in the best and every way possible than our first experience. Dr Styer is the most compassionate trustworthy and professional doctor. We started seeing him 2 months ago after a nightmare of an experience at a larger Waltham practice. Dr Styer has treated us like humans from the beginning. He knew our records front and back, asked about how we are doing emotionally, described what his approach would be and why. Since meeting him we have done numerous tests that have provided us with great answers that are heading us on the right track for our first cycle with Dr Styer. He explains in detail every test, why we are doing it, what the outcome is and how to proceed all while being one of the nicest caring professionals I've encountered. I can't wait for our first cycle with Dr Styer.

Have complete faith in him his team and process.

At our first meeting Dr Styer drew blood to see where my hcg levels were at after my miscarriage. Once I was at 0 and then got a normal period he did yearly bloodwork on my husband and I. Next we did a hysteroscopy to check my uterus, biopsy and do a mock transfer. From the biopsy we found out I have inflammation. And we also saw product of conception. We did a surgical hysteroscopy to clean out the uterus. Started antibiotics to get rid of inflammation. Next we are waiting to start the estrogen patches

Everything has been covered under insurance

Dr. Styer always greets me with a smile and cares about my comfort and level of understanding at every step of the process. He understands the nuances of my particular case which I greatly appreciate and takes all of these details into thoughtful consideration. I feel like I am in very capable hands and very at ease when I am in his care.

Know what you want in your doctor and do your research so that you can build a rapport with him right away because he is so easy to connect with - it is worth it. And as is the case with all fertility care, try to have realistic expectations, but remain hopeful.

We are still working through these details, but each decision thus far has been made based on my medical history, age, current relationship status, etc. and in consideration of my schedule which has felt perfectly in line with everything I could have hoped and more.

The costs were very much in line with what I expected, and in some cases much less than I had feared.