Center for Reproductive Health Spokane

He was sort of cold. Very clinical, not compassionate. I never felt like he cared about me or my situation. He was just there to preform the job of retrieval and implantations. He discouraged me from 2 embryos. He didn't make me feel comfortable or even seen. I was simply a number and a patient to be checked off the list that day.

Low expectations. I don't think he has as much success as he claims.

Started injectable meds for the egg retrieval, had many vaginal ultrasounds, both at my home clinic and at his office. I live three hours from Spokane so it was a very difficult time to get to Spokane as much as they wanted me to. They retrieved 12 eggs, 4 became usable embryos, 2 of those were not viable. We implanted two embryos in July '22. They did not take and I was not pregnant.

It was a cattle call. The clinic opened at 7 for ultrasounds and blood work. First come, first serve. If you got there early you had a minimal wait, if you got there after 7:30 you could wait up to two hours. It was not done well.

$18k for multi-cycle. Plus meds and monitoring. All in all, we spent about $30k for one cycle.

He only wanted to do a single transfer, I had to sign a deviation of protocol to get the two implanted. I don't think he liked that too much, and I speculate he didn't do his best to implant them, so he could be right about it not working.

Dr. Robins is a seasoned fertility specialist. We were very impressed by our initial consultation; he was extremely knowledgeable and it was clear that he had reviewed our intake materials in full detail prior to meeting with us. In person, Dr. Robins does not have a strong bedside manner. He is very “matter-of-fact” and efficient. This can come off as abrupt or even cold at times, especially in morning clinic when you spend less than 5 minutes in an ultrasound. Overall though, pleased with the medical care and fertility expertise which is what we came for.

You are there for results, not to make a friend. Dr. Robins is not a warm and fuzzy, but he is extremely knowledgeable.

I believe I was on an antagonist/low dose HCG protocol. Protocol selection wasn’t really explained to me, but I also didn’t really ask.

Cattle call starting at 7am. Highly efficient, I was often in and out by 7:30.

CRH offers a single cycle or a multi-cycle option. We chose the single option which was around 14k direct to the clinic, believe the multi-cycle option was around 19k. We had some additional separate fees for medications, embryo storage, sedation and PGS testing. We also did some of the monitoring at our local clinic so we paid for that separately. Altogether the total cost was probably somewhere in the 20-25k ballpark. I was lucky to have some fertility benefits through work, CRH was very accommodating in providing the necessary documentation required for me to access these benefits.

It seems that the clinic very strongly prefers single embryo transfer which was aligned with our goals. Multiple embryo transfer was never discussed.

In our initial consult he spoke over our heads but we left there with him telling us our chances of success with him were 65-70% live birth with donor eggs. Interestingly, the information he reported nationally in 2019 with donor eggs painted a very drastically different picture. Since reporting is always a couple years behind that was the most current year we could view. We felt lied to after seeing his documented success (or should I say failure) at a fraction of that. Also, my spouse had a vasectomy which Dr. Robins did an in-office procedure himself to remove sperm. After a year of working with him, $25,000 of wasted time & money along with zero sucess we switched clinics (where we were pregnant in 3 months, on our first try, and had several embryos to use later). This doctor suggested we use a urologist & get a fresh sperm sample which we did. The urologist did a completely different procedure & our fertilization rates & embryo numbers went up dramatically! Shame on Dr. Robins for not letting us know about this other procedure that a urologist can do that improved our success tremendously! We lost complete faith in him & his lab when none of our numbers met national statistics using donor eggs. We felt he was never invested in our journey or sucess & felt he was all about the money.

Don't go to him! Go elsewhere!

We used donor eggs because I had decreased ovarian reserve. Their website lists a donor coordinator but we never met her. You order frozen eggs in lots from a national company (which I do not recommend). We did this twice with zero success. You are completely on your own in this process. His office was basically clueless about the website & they never ever walked us through the genetic screening process for my spouse. So, the entire year we were with his office & selecting donor eggs we thought we needed to pick a donor who wasn't a carrier (not true), which totally narrowed our selection. The whole experience was horrible. Total waste of our time & money. Our new clinic had in-house donors, knew every single donor personally & their cycle history, the eggs were retrieved & fertilized fresh, & we were walked through every single step. IVF couples need to know there is a huge difference in how the donor egg process works at different clinics.

$25000 for ivf with donor eggs.

Dr. Robins will only do single embryo transfers & isn't open to anything else.

I felt as though he was a competent doctor and would do a great job medically. It was certain actions during the internal inspection of my ovaries that made me slightly uncomfortable. He also had a negative view of egg freezing vs. embryo banking. I had concerns over being with my previous partner longterm and wanted to go an egg freezing route and that was discouraged. However, embryo banking does offer higher odds for the production of a healthy child. So, I can understand his bias.

Do your research before visiting and have your questions prepared. Be as informed about the process as you can, and what your expectations will be after.

I have only been in for the initial consult and ovarian reserve ultrasound. I was told I still have options but due to my age I need to make decisions now.

The cost of embryo banking (12k plus medication) and egg freezing cost was also above average by significant amount more than KindBody. But I think that it is still within reason.

My doctor said that he would only transfer a single embryo at a time. He seemed very confident that only one was needed.

Dr. Robins is very knowledgeable but at times I felt he was rambling or giving way too many details that went over our heads, especially during our initial consult meeting. For me as a patient it means a lot to connect with my doctors and feel like our relationship is more than the procedures being completed, which also facilitated being comfortable to ask question and open up a dialogue. I don’t feel that Dr. Robins totally fits that bill. Visits are a quick in and out during the IUI’s and his staff ends up making up for his personality short falls. As a physician he’s knowledgeable and experienced which makes me trust his treatment planning decisions and that he’s guiding us in the right direction towards achieving pregnancy.

Don’t walk in letting emotions drive your decisions. Take a deep breath and approach your visits with a clear focused mind because that’s how Dr. Robins treats it.

We’ve completed 2 IUI cycles using 5mg letrozole for cycle day 3-8. Follicle scan on day 11 and based on those, we’ve triggered that afternoon with 5000 units of hcg followed with insemination the next afternoon in cycle day 12.

The costs for an IUI cycle was estimated to be $1200 full cost but with discounts from insurance networks discounts and such it cost us about $700-$800 per cycle. And we don’t have any fertility coverage through insurance.

The doctor did not have the best "bed side manner". He was definitely very realistic and blunt in regards to what I could expect, but that is something that I very much appreciated. He was almost always on time and very efficient.

Doctor Robins isn't "warm and feel-y", but he does a great job and gets the job done well.

I had a very typical IUI cycle and and a very typical IVF cycle.

The monitoring appointments were first thing in the morning. This actually worked incredibly well for me as I lived approximately 1.5 hours away from my clinic. They were very efficient about making sure each individual was seen.

I had 3 IUIs which were about $1700 a piece. I am not sure if this included medication or not. The entire IVF cycle was approximately $25 including medications and chromosome testing. I will be going through another frozen embryo cycle later this year which will be about $4300 including medications.

The doctor would only transfer one embryo.

Dr. Robbins performed every ultrasound and every procedure. However his communication was often nil. He would rush through some ultrasounds without saying anything to me except that someone would call later. My transfer did not go smoothly and they had to start all bbn over with a new catheter and that was very unnerving.

I believe he is a very skilled doctor but expect communication to be lacking so make sure you ask questions.

I had an AFC of 12 prior to starting treatment. I stimmed for 10 day with follistim and low dose hcg. We ended up with 15 eggs and I was very pleased. However only 2 made it to blast on day 6 and day 7. Dr. Robbins refused to do a fresh transfer although I had 5 still goin on day 5 and had prepped for transfer.

Well oiled machine but terribly inconvenient because I was traveling from over 4 hours away.

Near 20,000, including comsultation, icsi, sperm freezing, monitoring and FET.

He very strongly recommends eSET and won't discuss anything else.

As others have noted, he’s not a hand holder and relies on his nursing staff, which is necessary given the volume he manages. I was very impressed at my initial appointment; he had reviewed pages of records and discussed multiple options. I felt very confident in his skills and training.

Don’t be offended if he doesn’t speak to you during morning clinics. I was taken aback at first, but with 20 people in the waiting room, efficiency is key.

I previously had unsuccessful medicated cycles and one unsuccessful IUI. We went straight to stimulation with follistim and retrieval. We opted for ICSI and genetic testing, with a FET about 6 weeks later, one embryo transferred. Results to be seen!

Efficient, but sometimes the ultrasounds didn’t start until after the scheduled time, which delayed the group. Overall a well oiled machine, especially with lab draws.

20,000-30,000 including medications. We opted for the multi option

His approach in our case was one embryo at a time given that we had already gone through genetic screening of the embryos.

Dr. Robins is a very caring and dedicated physician. He has a personal level of understanding the desire to have a family and all of the things his IVF patients are going through. His direct communication is clear and concise but not without feeling. I really appreciated the calming demeanor he had with each procedure I had. Having my first IVF experience there were many things that made me anxious and nervous. Dr. Robins was amazing at taking the time to explain things before they happened and showing compassion when he knew things were uncomfortable or painful. During a stressful time when a cyst presented before the IVF stim he knew I was nervous and even though he must have been pressed for time he took moments to come stand by my side and discuss what was going to happen and give me reassurance. Dr. Robins is a physician that can understand what his patients are going through on a level that most cannot, this is what sets him aside and makes him an amazing doctor.

Always be upfront and ask all your questions. He and his staff are friendly and amazing at their jobs.

Dr. Robins begins with birth control to regulate and control the cycle. used a follitropin and low dose HCG. The follitropin to stimulate the follicle growth and the low dose hcg to help with egg maturity. He monitors follicle growth very closely which is nice because it gives more opportunities for adjustments to be made if needed.

The monitoring appointments were quick but with the friendly staff a pleasant experience. The nurse coordinator was happy to take the time to answer questions or calm nerves.

Dr. Robins clinic was as affordable as most clinics. IVF is an expensive treatment due to all the medications and close monitoring it requires. Our first round was around $12,000.

Dr. Robins has a wonderful success rate and will basically ask if you want multiple embryos transferred “do you want twins?”

Dr Robins is very knowledgeable and does his research on the newest trends in fertility and brings that to his patients. He is a tad socially awkward, but his nursing staff makes up for that. I trust that I’m in good hands and everything that should be watched is being handled correctly.

Know he isn’t a warm and fuzzy doctor. However, he is knowledgeable and you are hiring him for one thing, to have a baby.

I was able to get assistance through my health insurance. However, we had a few medications that were prescribed and not covered. This cost roughly $2,000 out of pocket. We also paid for all genetic screening and chromosome testing which totaled $3,500

Dr Robins has a high success rate for transfers and therefor recommends a single embryo transfer. This can be overroad by writing a letter stating you understand the high risks of a 2 embryo transfer.

Dr. Robins is fine as a doctor but I wouldn't recommend his office at all. Communication and overload is a clear problem. He did explain our risks, or challenges and treatment steps. I appreciated his detailed explanations. He would be more successful if he took less clients and comminicated better with nurses and staff.

Be prepared to call often and wait for answers. Our nurses kept quitting!

We planned ICSI with PGD

About $1000 for exams like Antral Follicle Count and baseline US and blood work. $3000 upfront for PGD probes to be completed which was reimbursed by insurance.

He HIGHLY suggested SET and explained risks associated with multiple embryo transfers. We were young so we agreed.

Dr. Robins was a great Doctor. He was very thorough with his consultation process and got all the information from us that he needed before even taking with us. He was very knowledgeable of all things infertility which gave us great confidence in his recommendations as to our process. He was very straight forward but also sympathetic with us as well. His own personal experience has helped him to connect with us in an individual level.

Go in this an open mind, heart and attitude. Help him to help you and be proactive in the experience to increase all your chances and possibilities.

I don’t exactly remember everything, but I remember doing 1 cycle of pills & injections with timed intercourse but only because I couldn’t manage to get into the clinic for an iui that cycle. I also did 5 IUIs with a combination of different pills and injection doses. I used provera, letrezole, follostim, low dose hcg , and ganrelix in several cycles with different dosages. I had no positive results so we moved to IVF after determina that I was not ovulating on my own due to my PCOS and hormone imbalance. I was able to have 33 eggs retrieved and 15 actually go on to day 3 embryos after icsi and only 4 viable embryos on day 5 in which I transferred two the first time and had a singleton birth and the other two embryos frozen the. Transfered when my first child 8 months. I then had the other two transferred and had twins born 11 weeks early. All my babies are happy and healthy despite the crazy journey thanks to Dr. Robins and his amazing staff!

I alsways tried to show up just as they opened so I could be one of the firsts ones in and out because of the traveling I had to do back and forth. It was pretty quick and they were very considerate with my needs.

Unfortunately my insurance didn’t cover any of my treatment but the pricing was pretty reasonable to what others where charging. I loved that they had a few discounted package programs available for multiple attempts if the first one failed. Freezing cost was a bit expensive but still reasonably appropriate with a great payment plan option.

Dr Robin's was not a man of many words. He was more clinical than personable. He was very professional and does all the ultrasounds himself. Which I thought was cool because he wanted to see for himself. I wouldn't say he was mean or uncaring but definitely not warm and fuzzy.

If you're looking for a kind caring doctor he's not the one for you, but if you want results he does knows what he's doing. Every transfer I got pregnant. Just miscarried every time.

I used follistim I create eggs, Lupron to keep me from ovukating, estrogen pills to thicken lining, Progesterone in oil to sustain pregnanct, and ganirelix to prevent premature egg release and HCG to produce egg release The first cycle and retrieval I only got 9 mature eggs which resulted in 3 embryos and the second cycle I got 22 eggs which resulted in 12 embryos. I overstimulated both cycles so had to freeze all both times. For FET I used estrogen, progesterone in oil, doxycycline, medrol, and baby aspirin. The first and second and third FET all resulted in pregnancy but I miscarried them and the 3rd FET was a blighted ovum.

For 3 tries it was approx $18,000 Meds for retrieval we're about $3000-$5000 Meds for FET were around $600 All monitoring labs and u/s were included in the price.

Dr. Robins is the best at what he does. He is matter of fact but well versed in fertility treatment. He cares about his patients and provided us with excellent care throughout. When we had some bleeding after discharge, he didn't hesitate in bringing us back to the clinic to check if everything was okay as we hadn't yet been seen by my OB. His care and reassurance was a gift in that scare.

Know that he is a matter of fact doctor, but provides excellent care and follows your case throughout the process. He stays up on current advances in treatment to give his patients the best chance at success.

We waited on our embryos until day six for transfer and freezing to give them a bit more time. These embryos resulted in two healthy pregnancies, though one ended in a still birth at full term due to a cord accident. we have one embryo left and we hope to return to the clinic for one last transfer as we would trust no one else with our care.

Morning monitoring was well organized and easy to get through.

IUIs were around $500. Fresh transfer, including retrieval and meds, was around $15,000. Frozen transfer was around $5,000. Yearly cryo cost was around $500.

Dr. Robbins is experienced, and I felt very assured in his knowledge and expertise. He remained compassionate when it looked like our cycle was failed. He looks at the big picture of health. I did not experience any weaknesses from Dr. Robins in my treatments.

Don't wait for more failed cycles from clomid/femara treatments prescribed by your OB. Schedule an appointment!

First visit included a sit down office meeting, discussing family histories, treatments tried, outlining the direction of treatment we would receive. Second visit was a hysterogram procedure to ensure that my tubes were open. Third visit was for ultrasound to ensure that eggs were developing appropriately, and fourth visit was for our first ultrasound of our little one!!

First appointment was $500, which our insurance did not cover. I don't recall further costs associated with my care. I believe insurance assisted after the initial appointment.

During our first meeting, Dr. Robins spoke for a long time to my husband and I about the process and the odds of a pregnancy happening. This was by far the most time I ever spent with him and in hindsight I am impressed at how long we were able to talk to him. He was always very calm and kind, but you could kind of tell he could do his job with his eyes closed, which isn't a bad thing in my opinion! His bedside manner isn't terrific (he isn't much of a hand holder,) but he gives you straight answers and I think is realistic about your chances. We had decided to do the chromosome test to increase our odds of the transfer working and he bluntly told us, "unless you want twins, I would only transfer one embryo." That was good to hear that he had a lot of confidence in our transfer working, and that he wasn't trying to crank out as many babies as possible! Truthfully, he seems like he knows what the heck he's doing, so I didn't care what his bedside manner was like....I just wanted to get pregnant. The fact that he has a great staff also makes his bedside manner less important to me. I would definitely recommend people go to Dr. Robins. I personally know about 5 couples who have had success with him as their doc! (I live in Montana where we don't have a lot of other options, but luckily, he seems to make it happen!)

As someone else said, if you want hand holding and a very gentle bedside manner he probably isn't the doc for you. But if you can handle the facts of your situation and want to get pregnant then he's great.

I originally started with two rounds of IUI (no hormones for me,) which were unsuccessful. Robins said our problem was simply the fertilization of the egg since I seemed fine and my husband had enough healthy sperm. The ICSI process eliminated that problem and we ended up with 6 embryos. We chose to do the chromosome test which delayed the transfer about two months and resulted in us using a frozen embryo for the transfer. The chromosome test showed 5/6 embryos were normal, and all were girls except one! Very fun to be able to know the gender, in my opinion. Because we knew the quality of the embryos Robins recommended one embryo for transfer to avoid having twins. It was a success and our baby was born in 2015. I still have four embryos stored with the clinic and will be going back for round two in early 2017. I have absolutely no concerns about going through the process again with his clinic.

Monitoring was a well oiled machine. They tried to help with the long distance by having you do labs and some monitoring at your local hospital which was very helpful.

Amazingly my company insurance paid for one round of IVF in our benefits. We did pay for the chromosome test, which was about $3k. I don't remember what total costs were but for baby #2 they have already given me an estimate on the embryo transfer costs and I'm anticipating between $4-5,000.

Dr. Robins is straightforward into the point. He is very thorough in explaining processes and procedures. I wouldn’t say he’s a bubbly personality. But he always treated us with kindness and respect and I could tell he made the effort to make us feel comfortable to the best of his ability. I never felt as though his bedside manner was cold towards me or that he treated me like a number. My husband and I feel blessed to have worked with him, even though in the end pregnancy was not achieved.

Good vice I received from my OB/GYN in regards to Dr. Robins is to not expect warm fuzzies from him. Is nursing staff is incredible and they will make you feel warm and fuzzy. His job is to do everything he can to help you achieve pregnancy and become parents. And he is one of the best. It’s more important to have a doctor that is the best at what he does. Leave the emotion to the nurses.

These appointments were done first come first serve. I don’t feel like it was a Cattlecall. And I know that if I needed to get in earlier I just needed to get there earlier. They were early morning so I could go before work. It was easy and convenient. The appointment some selves weren’t that long, but Dr. Robins did every ultrasound so he could see exactly what was going on and be involved in the process. They did express that it wasn’t a time to chat and ask lots of questions, But to let him do the ultrasound and then we would receive a phone call to talk about how things went and what the results were and what to change meds and dosages to if needed.

With each of our transfers we did two embryos. Dr. Robins made it clear that he was not a fan of doing more than two embryos. Because our experience did not end with the baby, I sometimes wonder if we should have done single transfers each time. That was an option that Dr. Robins was in favor of. However , he was supportive Us doing a two embryo transfer.

Dr robins doesn’t have a great bed side personality. He doesn’t give the warm and fuzzies but he does give the facts which is a good alternative. The treatment plan is discussed with nursing staff rather than him so I can no rate this. I saw him once a cycle and that was for a sonogram.

Make sure you are available each visit from 7am-9 or 10am as it is first come first served and you could be waiting quite awhile to be seen.

I only did stimulated cycles. After 7 cycles I called it off myself because I was having the same negative outcome each time. With no new information or explanations from the doctor or staff. It was clomid, injectables then trigger.

Insurance covered labs and ultrasounds. I had to pay for medications out of pocket.

Did not do an transfer

To me, Dr. Robins' greatest attribute was that he was blunt. I don't want my fertility and what is happening sugar coated. He gave me the information I needed to prepare for all situations and make informed decisions. This also gave be hope for being able to have a child while helping me understand the risks. The greatest weakness was probably scheduling. It took two months to get the initial consultation, BUT once we got in things moved quite quickly. Also, after my miscarriage I was given quick appointments which helped me quickly become pregnant again which I was able to carry to term.

If you want a competent doctor who is going to lead you through your fertility journey while giving you all the information you need to make informed decisions, Dr. Robins is the doctor for you. If you want someone who is going to sugarcoat things, go elsewhere.

I felt he was very professional and had my best interest in mind when caring for me. He may not be very chatty but he answered all my questions when asked and was very approachable.

There are a lot of women that are in the same cycle as you but don't feel like just a number in a crowd. He kind of does crank out the patients but we're all in this together.

There are a lot of women who come in for morning clinic at the same time. I knew this and they had prepared me for this. I didn't feel like we were being "herded like cattle" as some women said but knew that this is just how clinics work and was happy that this many women were able to be helped.

Dr Robins is quick and all business, but he allowed us to pursue other options and tweak my cycles accordingly. He was open to new ideas that were definitely out of his comfort zone. I ended up having another reproductive immunologist oversea much of my treatment protocol and Dr Robins was open to collaboration

Be ok with quick morning clinic appts and not a warm, fuzzy doctor

Cattle call during specific hours. There was absolutely no flexibility

I think he is great. the first appointment he gave me hope, the second appointment he drew diagrams to explain things to us. and put it in terms we could understand

that there isn't any reason why I shouldn't believe that I could be pregnant.

$$$$$$ but that's what to be expected going to a fertility clinic

Dr Robins took time to make sure that my husband and I understood the diagnosis. He was also very informative about our pregnancy chances with different infertility treatments.

Be prepared for an emotional journey. Dr. Robins and his staff do their best to help you through it. They require a visit with a psychologist prior to transfer. I wish that I had been to see one sooner in my process. She was incredible.

Robbins goal is for a successful pregnancy and he focus on getting you pregnant. He wants to carry the stress for you, and have you and your partner return to “fun” in your life. He is really explains each procedure and caught images on my HSG that my other provider missed. I felt that he was very knowledgeable about his field. He has a very high success rate and is available to answer all your questions.

Bring all your questions and don’t be afraid to ask them. Be specific.

I started with a progesterone test on CD 2 to make sure my body was ready to start treatment. I took Letrozole on CD5-CD9 to develop eggs. On CD 10-11 I took Follistim to give my eggs a final boost. On CD14 I went and had my ultrasound done and was given a trigger shot as my eggs were ready. On CD15 my husband and I went for our IUI. It was so quick and painless. I laid on the table for 10 minutes afterward to allow the speed to reach my ovaries. 2 weeks later I had a pregnancy test

Everything is reasonably priced

Dr Robins heart is to make sure you I your dreams become a reality, my experience with him is that he is a Dr and he does know what he is doing, when I would come in to have my IUIs don't it was a quick in and out process I didn't really talk to him much.

He has been doing this for 20 plus years he knows what he is doing but make sure you pick the right treatment that will benefit you.

I did 2 rounds of natural IUI and that's because of my age and that I have never had children we would time when I would start my period then I would order the doner sperm then come in for a pelvic ultrasound to see how big my follicles were then I would have my blood drawn and have the iui that day or the next day, I always felt like the timing was off and thats why I never got pregnant.

The natural IUI was the cheep route iui, sperm prep, ultrasound, blood draws cost about 1,300 that's not including the separate purchase of sperm 1st time was 625.00 the second time 695.00 this includes the shipping fee at the time of 100 dollars.

He wanted to do 2 natural rounds of iui and if those didn't work we would do a medicated round, I dont have anymore money so I we didn't do another round.