Center for Reproductive Medicine of Alabama

Vet professional and remembered me and my situation even years later. He truly made me feel like there was hope and that I deserved to be a mother as well! Very comforting and reassuring ! Very compassionate about the care he is providing

Follow up and call the office on your own don’t wait for the office yo call you

I believe he's a compassionate doctor who is well spoken and has a passion for his field. He kept phrasing, "if you were my daughter", so that initially made me comfortable. He's easy to talk to and gives diagrams of the material he is covering.

He's thorough and obtains patience. He'll explain the process and data as many times as needed.

He solely did consultation and put me on vitamins.

The initial visit was $230.

Dr. K is a very compassionate and trustworthy doctor. He is truly concerned about the well-being of his patients and is committed to providing the best science for couples to grow their family. His team is the reason why our emotional experience with IVF is a little easier. My husband and I both had surgical procedures the day of my egg retrieval and Dr. K and the embryologist were by our sides through that process.

Do not hesitate to ask the tough questions. Dr. K and his team will be honest with you.

We have male factor infertility so Dr. K recommended a urologist that he has a history of working with to treat male factor. My husband went through sperm mapping to try to locate sperm. That procedure was successful so we were good to begin IVF. For the cycle I began by taking birth control pills for 10 days along with a Z-pac. When my period started I went in for a baseline ultrasound and everything looked good so I began Follistim and monitoring of bloodwork with ultrasounds every few days to daily. After about 5 days I began adding Ganirelix and Menopur. To prevent my ovaries from hyper stimulation, I took a Lupron trigger shot. On the day of the egg retrieval, my husband had micro-TESE. 9 eggs were retrieved. 7 were mature. 6 eggs were fertilized. The embryos progressed well until around days 3-4 when the cleavage fell off.

We chose the Attain, 3-cycle bundle for 25k. Medications and shots, as well as some of my husband’s procedures are not fully covered through our insurance.

We were efficiently educated on the risks involved with transferring multiple embryos and also in situations that would allow for more than one embryo to be transferred.

Dr Inge is very pleasant and I have a lot of faith in his abilities. Unfortunately, he was unprepared for consults and spent a lot of time just reading my chart as opposed to talking to me, and then constantly looks at his watch which makes me feel like I'm taking up too much time even during a very brief consult.

Don't expect a lot of details.

We purchased the attain two cycle program with the refund option. It covered monitoring and both fresh and frozen transfers. We paid $23500

Dr. K is very knowledgeable. He gave me expectations to meet to make the egg retrieval more successful. He explained age factors and the need to have an additional egg retrieval in the future to a better outcome to lead to a more successful pregnancy. He shared his knowledge of factors that could reduce the amount of eggs retrieved. He was blunt with details which I appreciated.

He will give you an outline of expectations he expects you to adhere to that will increase the odds of success. Be prepared to be pushed outside of your comfort zone to meet your needs.

The protocol with Dr. K was different than by first provider. Although more medicated days were added to my cycle of treatment it wasn't unbearable. More hormones were used to stimulate my ovaries due to my older age.

Medication, one cycle monitoring and egg retrieval was about $7,000.

My experience was only to retrieve and freeze eggs.

Dr. Koulianos' is wonderful at explaining all the processes in detail. There is so much information to take in, and he really helped us do that. My one tiny complaint would be that I wish I had talked to him more along the way and not just received messages through nurses, but the information always got to me anyway.

Ask a lot of questions! Don't be afraid to ask about your care in detail. Even though there is a lot of information to take in, he will help you understand everything which makes the process less scary.

Both Drs at this clinic treated me, so some procedures were with one Dr. and others were with the other. We used donor sperm for male factor. I did 2 IUI's in 2012 with Femara only, which resulted in 1 live birth (singleton). I did 10 IUI's between 2014-2016, trying protocols that involved Femara alone, and then injectables. I was unsuccessful. I did IVF in 2017, fresh, elective single embryo transfer of a day 5, which resulted in 1 live birth (singleton). I did a frozen transfer in 2020 which resulted in a chemical pregnancy (used 1 embryo). A second frozen embryo transfer in 2020 (2 embryos), resulted in 1 live birth (singleton).

I really don't remember everything. It seems like we paid about $15,000 for our initial retrieval and fresh transfer in 2017, then around $7,000 per frozen transfer in 2020.

My Dr. felt very strongly about eSET. He discussed all of the risks that involved multiple embryo transfer and strongly advised against it. I only used two embryos on a frozen cycle, after I'd had a previous CP. One of the embryos was very poor quality, so it was unlikely to result in a pregnancy.

His strength is explanation. He will tell you exactly what he thinks your results will be and how long to try for. He is a realistic doctor who doesn't waste your time. He has given us multiple chances and option to get the outcome we were hoping for, even if it didn't work. Every negative test is followed with a plan of action and instructions which i greatly appreciate.

Be patient. He will work his magic when the time is right. I have not been blessed with a pregnancy yet but I'm positive when I do, I will owe a thank you to Dr. K.

Clomid 5mg, take CF 2-5. X3 months at a time. Break in between to insure no cyst appear due to over stimulation. Lexapro 5mg, take CD 2-5. IuI @ CD 15.

IuI was 800.

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Dr. Inge is very friendly and has a vast knowledge about fertility. I feel as though he really cares about each one of his patients. He is very direct and always has a plan. We haven’t had very many appointments with him so far but I feel right at home when we have a visit.

Don’t be afraid to ask questions. You can never ask too many questions! Be prepared and have a list ready for him.

So far Dr. Inge has being doing a diagnostic work up with me. We have completed a sperm analysis, lab work for myself, and a baseline ultrasound. We are awaiting to have my hsg procedure done. Due to covid-19 that is currently on hold. In the past, I have taken 5 mg of Letrozole for six cycles. Three of those cycles included 3 IUI with hCG trigger shot. I have had a saline infused hysteroscopy that showed a blockage in my right fallopian tube. My past RE felt that we had a chance with IUI. No success came from those three attempts. My husband and I are now moving forward with Dr. Inge in hopes that he can give us a second opinion and hopefully a new approach.

So far we will only have spent about $500 with Dr. Inge for semen analysis, bloodwork, and ultrasound. The hsg which is going to determine our course of treatment is $750. IVF at the clinic I believe is upwards of $20,000.

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He was a good Dr very knowledgeable and he has amazing bedside manor. Is willing to adjust the treatments as hurdles pop up during the cycle. I honestly really liked him as my DR. He always answered all of my questions and made sure I understood what he was saying. He takes recorded notes so it’s easy for him to keep track of what’s going on during your visits and where you are in the cycle.

Very soft spoken and you can tell he is doing everything he can go get you the results you want.

None of my cycles ended in a pregnancy. I took clomid for the first two and famara for the last two and the last cycle I did with him ended in a chemical pregnancy. He chose these drugs because when I first came down my consultation he noticed a few of my blood test were abnormal and diagnosed me with “pre” PCOS. I had great results as far as egg growth. Unfortunately I was diagnosed with thyroid cancer and my treatments have been on hold for now.

Iui was $800 each time. My insurance covered most of my bloodwork and ultrasounds.

Dr.Inge welcomed me with a smile and explained every step of the testing and treatment process thoroughly. He paused for questions and concerns and took time to actively listen to my concerns. He gave me options and asked what I thought unlike most doctors. He never made me feel rushed or uncomfortable. He was very personable at each appointment as he walked me from the office to the front desk.

I would tell them not to expect to be rushed or treated like a number. He is very patient and will answer any questions or concerns you have and will answer them well.

Dr.Inge checked all my bloodwork before beginning a treatment plan and checked for endometriosis. He did find some places that needed to be removed and confirmed I have mild endometriosis. He then gave the option of clomid with trigger shot combined with IUI. I first tried 3 treatments of clomid and trigger shot alone and then two treatments of IUI with clomid and trigger shot. Now we are looking into IVF as previous treatments yielded negative results.

Clomid was $25 per treatment and trigger shots were about $200 and came with two shots. IUI was around $800 per treatment.

I have seen Dr. K for 8 years. He is the one who gave me my official diagnosis after seeing 2 different OBGYNs. I was amazed, yet comforted, when we spent the majority of my first appointment talking about farming and other common interests of ours. When discussing the course of treatment, he was very thorough and made sure I knew exactly what to expect. I took a break after 2 unsuccessful treatments and just had my first consultation with him again after being gone for 3 years. He still remembered me and said he was glad to see my name on his schedule again. He truly made me feel cared for. His clinic is over 3 hours from my home. There are several fertility clinics closer to where I live, but the drive is well worth it. So many people ask why I travel when there are clinics closer. I tell them it’s because Dr. K and the staff at CRM make me feel like I’m part of their family. I’ve never once felt disrespected or been treated like “just a patient.” They make everyone feel like the most important patient and valued. That sort of treatment is priceless and well worth the miles I have to travel.

Don’t think twice about using Dr. K - whether it be distance you have to travel, money, etc...he is well worth it all!

Dr. K gave me my diagnosis (hypogonadotropic hypogonadism) when I was just 19 years old. He was the first doctor that I felt was actually getting answers after years of wondering why I wasn’t having cycles. We first did an HSG to confirm that I had no blockages. My husband also did a semen analysis. I did 17 days of injectables including a trigger shot then timed intercourse. We had an early miscarriage after that. I did the same thing for my second treatment and it was an unsuccessful cycle. We are gearing up now to start my third treatment.

about $3,000 for a round of injectables plus appointments

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I tried to conceive for 7 years before visiting with him. On my first meeting, after looking through my charts, he told me that he could confidently help me become pregnant. I know have a 5 year old daughter conceived via IVF. This would not be possible with him as my doctor. He is the most brilliant and caring doctor I ever had. We moved 6 hours away from his clinic, and I still drive to come see him. He is currently helping us conceive baby #2.

Take Dr. Koulianos’ advice on your route for treatment. He has been studying reproductive medicine for a long time extensively and will choose the course he believes is best for each individual patient.

Dr. Koulianos started me off with IuI. After a failed IUI attempt, he asked if I was comfortable being more aggressive with my treatment meaning IVF. I told him I trusted his opinion and wanted to move forward with IVF. He said he would like to start me on IVF due to my lack of ovulation. He told me that he felt confident with egg retrieval and ICSI that I would have very healthy embryos to put back into my uterus. We became pregnant on our first IVF attempt and delivered a healthy baby girl.

Around $40,000

He allowed us to make that decision if we wanted to put back one or two embryos. He did not offer for us to put back more than two embryos on our IVF cycle.

He is not board certified in Reproductive Endocrinology, only OB-GYN. He did not seem like an expert and referred us to his embryologist to make decisions about our treatment before we decided on IVF. He was compassionate when we had a miscarriage, but he overstated our chance of success with PGS IVF.

Get a second opinion and know that this clinic is so busy it is hard for them to be organized.

IVF with ICSI because husband had 0% morphology. PGS testing because we were both over 35. We made 2 genetically normal embryos during our one cycle of IVF. They did an FET and it ended in miscarriage. We still have one embryo frozen at this clinic that is PGS normal.

IVF with ICSI $10,000 Frozen Transfer $4500

If embryos are PGS normal, SET is what he does.

Dr. K is one of the most caring and selfless doctors I've ever met. He truly cares for his patients. He is always straight forward with information and does not sugar anything. He goes above and beyond to do everything he can to help his patients. He has a strong religious belief and for me, that makes all the difference.

Put your faith in Dr. Koulianos and Dr. Inge. They will lead you down the path that is right for you. Their staff are some of the most caring people you will ever meet and most of them are infertility patients themselves. They will take great care of you!

Over the course of 4 years being treated by CRM, we tried several protocols. First was clomid, which was ineffective. Second, I had a laminectomy to remove built up scar tissue. This resulted in an immediate positive pregnancy test which later resulted in a miscarriage. Lastly we were told IVF was our last option. After we had the funds, I started the IVF hormone protocol for egg retrieval. 5 days after transfer I had a grade A/B embryo transferred. I continued the prescribed hormone protocol and 2 weeks later, received a positive pregnancy test. I continued progesterone therapy until I was 7 weeks. I was then released to my OB. This transfer resulted in a live birth.

My insurance covered all my my monitoring costs. We had to pay for my husband's collection analysis and preservation. All the combined costs of the actual IVF protocol came to a grand total of $23,000. This included medicine, preservation, transfer, retrieval, anesthesia, testing, and miscellaneous lab fees. Our insurance covered a large portion of the medicine costs.

They have a set protocol for transfer based on embryo grade and patient age and health. I feel it is very affective.

Dr. Inge is very nice and friendly. We had our initial visit with him and he explained everything and what our options were. During our insemenations he always prayed with us, which i thought was sweet and really appreciated. He always made it seem like he really cared about you and that you aren’t just a “dollar sign”. He always went over things in detail from start to where you were then, and what the next steps or options were.

Be patient and trust that they have your best interest at heart

My first 3 IUI’s were done with clomid and an hcg trigger shot. I would start medication on day 5 and would take it until about day 10. I would go in for blood work and they would tell me when to trigger and then we would do the insemenation a few days later. We also did 3 injectable cycles. For those on the first day of my cycle I would call and let the office know that I started and then they brought me in on day 3 for a follicle scan. From there they had me start follistem, 75iu, I did that for about 4 days and then they brought me in for blood work and another follicle scab. At the ultrasound for the follicle scab they would count and measure each follicle. From there they would call and tell me to do follistem for another couple of day and then come in for another follicle scan. For me it was always around cycle day 11 that I triggered with hcg and was brought in about 36 hours later for an insemenation. I got pregnant on my first injectables IUI which resulted in a miscarriage. We went on to do two more IUI’s with injectables which resulted in negative pregnancy tests. From there we moved into IVF. Before we decided that was our next step we sat down with Dr. Inge and went over the options. Once we decided the IVF route my husband and I were both test for std’s. My husband have a specimen which was frozen in case he couldn’t perform the day of egg retrieval. My husband and I also took a class that went over the different medicines that we would be using, how to properly give the injections, what happens during egg retrieval and afterwards, and what to expect from the embryologist and when you will be notified by them, and then what to expect during transfer. The stims for IVF were follistem, menopur, cetrotide, and a Lipton trigger because I did a freeze all. I start out only using follistem (150iu), then it went to follistem in the morning and menopur at night, and then it was menopur follistem and cetrotide all in one day. In between I was brought in every couple of days for a follicle count and measurements of each follicle. For the Lupron trigger I did half one day at a specific time and then the other half 12 hours later. Egg retrieval was scheduled for 36 hours afterwards. When they were done with retrieval and was in recovery they told my husband how many eggs were retrieved (20), the following day the embryologist called with how many eggs for viable (10), the following day they called with how many fertilized (8), every day they called with a report; by day 5 we had one and day 5 we had 2 more to freeze. In total we ended up with 3 frozen embryos. About a month later we scheduled FET. I went in for a ultrasound to check for cysts and to check lining. Then I started estradiol Patches 2 every other day. A week before transfer I started progesterone (Crinone). The day of transfer I arrived at the office 1 hour and 15 minutes before procedure for them to give a thaw report. Then I went down to the hospital, got check in, started drinking water, took a Valium and waited. Then I was wheeled in and had my legs put in stirrups and had an ultrasound tech monitoring everything in the screen. The embryologist put embryo in catheter and gave it to Dr. Inge, he placed into uterus and gave back to embryologist to confirm it wasn’t leftnin catheter. I then had an hour of rest time and was out on bed rest for 3 days after. 4 days after transfer went in for blood work and then 10 days later in for pregnancy test

I had a 20% co pay. IUI was around $800. My payment for retrieval ( after insurance) was about $1200 and that was the same for transfer. Medications cost approx $6000 ( out of pocket)

They choose everything by your age and what the issues are. They only recommended one embryo to be transferred for me

Upon meeting Dr. Inge, my husband and I were really impressed. He didn't rush us in any way and answered all of our questions thoroughly. When IVF was suggested for us, he sat us down in the office and went over steps we were to take and had diagrams showing. Gave us documents to read over about the procedures as well. He also does a class for upcoming IVF procedures. I really feel this is were I am to be and grateful to my OB for recommending him! I have never felt I needed to go out and get a second opinion. I believe in Dr. Inge!

We started out with a semen analysis, which came back normal. We then started clomid, we did a few rounds of that but I would get cyst bad and would have to skip a cycle. After no positive results from that we moved on to IUI's. I had to take clomid, go to ultrasounds, and take a trigger shot with times sex. After not getting anywhere (my husband and I have been trying for 3 years) and getting emotional and financially strapped we decided to take a few months off. Went back and sat down with Dr. Inge, we did another semen analysis and this time came back with a male factor infertility. So Dr. Inge stated with my age we needed to move on to IVF. We are now waiting for Transfer (Oct. 4, 2018). In August we started with the injection meds leading up to egg retrieval, which was done in August. We were unable to do a fresh transfer due to my levels being to high. I was put on meds to bring levels back down. It's been a roller-coaster ride!

It's still on going... A lot and it keeps racking up.

I was shocked at first that they suggest only 1 embryo transfer, I have always heard of the multiple transfer. With my clinics statistics I trust my doctor on his protocol and using a single embryo.

Dr. Koulianos is great. He is very knowledgeable and thorough. I saw him for almost two years, but I had a couple set backs in treatment, including my husband's lengthy deployment, two ectopic pregnancies (where I lost a fallopian tube), and two chemical pregnancies. He has always been very kind and explains everything very well and adjusts treatment as necessary. I am very grateful to say after 4 cycles of clomid and 3 cycles of gonal-f with only one tube, I am now 11 weeks pregnant and could not be any happier with my treatment from Dr. K!

He's not a very warm, fuzzy type of guy, but I can tell he cares and is a great doctor. I trust him 100%.

He started with clomid and an hcg trigger with timed intercourse because I have slightly irregular ovulation and a short luteal phase. He told me we could start where I felt comfortable and progress as I wanted to with the aggressiveness of treatment options. On all 4 clomid cycles I produced 3 mature follicles, and my monitoring was very thorough. The 4th clomid cycle did result in pregnancy; however, it was my second ectopic, and Dr. K had to remove my left tube. This created further complications in my treatment because I always tended to ovulate from my left side. After the surgery, we moved on to gonal-f injections with an hcg trigger and timed intercourse. The gonal-f was to hopefully produce more follicles on my right side with the tube instead of the left. The first two cycles did not produce mature follicles on my right side, only the left. On my 3rd cycle of gonal-f, Dr. K decided to add in ganirelix injections to prevent ovulation while we waited for the follicles on my right side to mature. I had one mature follicle on the right and two on the left. The one on my right worked, and I am now pregnant!

My insurance covers infertility diagnostics, monitoring, and medicine as long as timed intercourse is used, so I have not had to pay much out of pocket for any treatment.

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Dr. K is very warm and enthusiastic. I have never seen him upset or frantic. He is very calm during a time that is very stressful for couples. Each time I see him at the clinic it is as if we haven't seen each other in ages. He's so happy to see us and wants to know how life is going! Each visit with Dr. K I brought along a list of questions. Usually, by the end of our visit, he would have answered all of my questions without me asking! Occasionally there would be a question or two I would have to ask. I have never felt like I was an inconvenience to him which I have experienced with others doctors in my life. He has been extremely accommodating to our financial limitations and has been providing us with as many IUI opportunities as our insurance will cover. IVF is out of the question for us and he has been taking that into consideration.

Don't be afraid to ask questions. He doesn't think a single question isn't worth asking. It is your mind and body going through this difficult time. He will definitely listen.

The first protocol was having an HSG and standard blood work. After everything came back normal we began doing IUIs because we were unable to try on our own. We would do 3-4 IUIs if not successful by the third or fourth IUI then I would go in for surgery. I begin my first IUI cycle on Clomid taken Day 3-Day 7. Responded very well. I believe I have 2 follicles mature enough for ovulation. One slightly larger than the other. Took Pregnyl trigger shot to induce ovulation. Husband's numbers were phenomenal. This cycle ended in a negative. I had to wait out a cycle because of a cyst. Begin second IUI cycle with the same protocol. Responded well but ended with a negative. No cyst this time. Third IUI with the same meds but ended with a negative. Fourth IUI I was switched to Femara/trigger shot. I responded well but ended with a negative. Dr. K recommended that I have a laboratory/hysteroscopy surgery to rule out endometriosis or other complications. Everything came back normal except for a small amount of scar tissue on an ovary. We are now currently waiting to begin our next IUI cycle using injectibles, trigger shot, and progesterone.

All my of IUIs and surgeries ($150 co-pay) were covered by insurance. Standard bloodwork is $7 per visit. Clomid and Femara were relatively inexpensive with insurance. Trigger shots ranged from $50-$60 a piece with insurance. Injectibles are not covered with insurance and can range from $300 to $900+ depending on the dosage/days needed. $250-$300 for genetic testing.

Dr. Inge is very nice and I've been able to consult with him on any recommended changes to my treatment openly. He makes you feel comfortable in an awkward situation and has great bedside manner. My only complaint is that after each failed IUI it would have been nice to consult with him personally instead of going through any medication changes or protocols with his nurses. You can request a consult but I think it should be made mandatory.

Make sure that you do your research rather it be on fertility meds or information about IUI or IVF before your first consult. Dr. Inge is open to suggested treatments and does let you decide on your treatment options.

My first two IUIs I was on Clomid 50mg and the trigger shot. After the second IUI I got a huge cyst on my left ovary which caused me to have to sit out two cycles. During this time, Dr. Inge put me on Vitamin D supplements due to my vitamin D being low. On the third IUI, he changed my medication to femara 5mg (at my request) which I responded well to but unfortunately also had a negative result.

My insurance covers labwork and ultrasounds. The only time I have to pay a copay is when I have a consult. The cost of my medication (Clomid/Femara/Trigger shot) each cycle was about $10 for the Clomid or Femara and about $165 for the trigger shot. The cost of the IUI procedure is $565.

Dr. K is a very warm and compassionate doctor. He is also extremely gifted in this specialty-he is published in many studies and is well versed on all the latest treatments. He has the ability to give you the treatment you need, while not being so conservative that he misses the mark. He explains treatment to you in a way that is both realistic to expectations as well as positive and uplifting. I feel he is very honest and he truly wants to help give you a family. I do feel that he has too many patients and you don’t see him often and you can completely forget how much you like and trust him between visits because you are so frustrated with the staff.

Be your own advocate for your health, you need to understand your treatment because you will need to stay on top of staff in order to have the best care.

Agonist protocol. IVF, birth control, mini hcg, follistim and menopur. Trigger with Lupron (because of my condition, normally he uses hcg trigger)

Insurance covered a lot, but even with great insurance it cost us nearly 10k for 3 IUU with injections and IVF because he was out of network and we had a co-insurance

Strongly recommends eSET for couples under 35. He will listen to your thoughts and consider multiple, but he does a very good job of explaining those risks.

I have absolutely nothing negative to say about Dr. Inge. He is one of the most caring people I have ever met and it is a joy to be his patient! He takes time with each and every patient and makes sure you understand everything. I have put my complete trust in him when it comes to infertility.

Be open with him and don’t feel like you’re just a number! He truly cares about your feelings and needs!

I had 2 iuis with donor sperm and femara plus trigger shot because we only had a problem with male infertility. I conceived on the second one. Trying for a second baby we tried 2 iuis with femara that didn’t work, and 6 more with injectables (gonal f and trigger). This was my choice even though Dr Inge recommended after we had done 5 total I think. On each iui cycle I had 1-2 mature follicles. I did ivf with donor sperm, follistim, menopur, and trigger. They retrieved 11 eggs, I have 4 frozen embryos and we used one fresh embryo that resulted in another child.

My iuis cost $550 each. With ultrasounds and blood work I would pay about $2000 per cycle, not including donor sperm. My ivf cycle cost about $15,000 total with meds and donor sperm.

My dr recommended a single embryo transfer because of their high success rates and the quality of my embryo, but he ultimately left the decision up to me.

Dr. Inge is excellent at explaining treatments and diagnosis. He always has visual charts and diagrams to explain exactly what is happening. He is well prepared for meetings and takes time to consider your individual circumstances. He always presents his ideas for treatment and asks for input from the patient and is open to discussing a variety of options. Also, he has a very kind smile. I always feel calm the instant he comes into the room. I remember I went in for my laparoscopy and was quite nervous until he walked up and smiled and I knew right away everything would be fine. My husband commented on how thoroughly he explained the results of the procedure to him as I was still under anesthesia. He even showed pictures and explained what they were and what they meant for us. Dr. Inge is extremely passionate about his work.

I don't have any advice except to make an appointment as soon as possible. He will take care of everything else.

We did 3 cycles of Clomid with IUI because I seemed to ovulate, but he was concerned about the quality of my ovulation and had found that my husband had low morphology. After these failed we moved to injectables with IUI. We did one unsuccessful round then increased the dosage. I was unsure about spending the money on injectables after having no success with Clomid, but Dr. Inge explained how the injectables would help with egg quality and provided data to show they are more effective than Clomid. He also discussed the risk of multiples and explained how we would manage this risk. On our second round on injectables with IUI we became pregnant with our son whom we lost at 18 weeks due to cervical insufficiency. When I was ready to try again Dr. Inge suggested tests to make sure I was fully recovered such as the laparoscopy during which he discovered that I have stage 2+ endometriosis. After removing the endometriosis Dr. Inge suggested returning to injectables with IUI since we had success with that in the past. We have done 2 IUIs since the loss, neither have been successful we have increased the dosage of follistim each time. Our final attempt at IUI is tomorrow. Dr. Inge suggests moving to IUI if we are unsuccessful. Before starting treatment again he helped me treat my mental health by making am appointment for me with a MFM who walked me through a strategic and proactive plan that would prevent incompetent cervix from ending future pregnancies. He also referred me to a counselor.

My insurance covered the IUIs bit I know they usually cost $565 out of pocket. Ultrasounds are also covered by my insurance at no cost to me. I don't know how much they cost. I pay $5 for each lab, again I don't know the our of pocket cost. I paid $150 for the laparoscopy.

I have not done IFV so have no opinion on this.

He is a compassionate doctor, and comes across as honest and genuine. He seems to truly want to help me get pregnant and have a baby. He seems to care about what is in my best interest, and not just in his success rate numbers, etc.

Don't hesitate to schedule consultations with him and ask any and all questions you may have. He is very kind, and spends time to answer all questions the best he can.

IVF #1: Lupron Flare protocol --- Birth control, Microdose Lupron, Gonal-f 450 IU per day, drop in Gonal-f to 300 IU per day on day 8 of stims, Human Growth Hormone (Omnitrope) 0.25 mg per day every day of stims (9 days total), DHEA (micronized) capsules 25 mg 3 x per day. 6 eggs, 4 top-graded blastocyst embryos, Freeze-all FET #1: Birth control, Lupron, Estrogen patches, Progesterone in Oil IM injections, Medrol, Baby Aspirin 81 mg. eSET, Positive beta, turned into an early miscarriage, and then a suspected possible ectopic, treated with Methotrexate. FET #2: Birth control, Lupron, Estrogen patches, Progesterone in Oil IM injections, Medrol, Heparin, Baby Aspirin 81 mg. One embryo didn’t survive the thaw. eSET, Negative beta. FET #3: Birth control, Lupron, Estrogen patches, Progesterone in Oil IM injections, Medrol, Baby Aspirin 81 mg, DHEA (micronized) capsules 25 mg 3 x per day (in preparation for next egg retrieval). eSet, Chemical pregnancy. IVF #2: Lupron Flare protocol --- Birth control, Microdose Lupron, Gonal-f 400 IU per day, Human Growth Hormone (Omnitrope) 0.25 mg per day every day of stims (9 days total), DHEA (micronized) capsules 25 mg 3 x per day. 3 eggs, No embryos.

Before our 1st embryo transfer, I was informed by our doc/clinic that at my age (at the time I was 37), they generally recommend transferring 2 embryos at a time. I requested an elective single embryo transfer for our first transfer, just to be extra cautious. Doc was fully supportive of this, which showed me that he was looking to my best interest instead of his own success rates, etc. For our 2nd embryo transfer, our doctor suggested another single embryo transfer because he said I did get pregnant the first time, our embryos had a very high grading, and I am petite. For our 3rd embryo transfer, we only had one left to transfer. After 3 failed single embryo transfers, in addition to my age, now 38, the doc, as well as my husband and I, would like to transfer 2 embryos together at a time going forward.

Felt like he wanted us to come to our own decision about treatment. That can be a good or bad thing- depending on how assertive you want your doctor to be. He was always polite but maybe a bit scattered. We only felt rushed out of the office at our last appointment but the IVF nurse/financial coordinator called us that afternoon to follow-up.

go in with questions in hand and have an idea of how far you are willing to go with treatment.

My husband had surgery to repair a varicocele (which they thought was the cause of the MFI). They also started him on clomid and testosterone. Looking back, we would not have done the surgery that soon and waited a few months to see if the clomid would boost his numbers. All of his numbers were a little below average- mainly his morphology was the worst. His count and motility went up significantly after surgery/meds but the morphology was still low. We moved on to IUI with Femara. We did 3- all negative. We then decided it was time to move on to IVF.

our insurance covered all ultrasounds/blood work but we had a 30.00 co-pay for office visits with Dr. Inge. Our IUI was 550.00 each time and the trigger shot was around 100.00 each time.

He was extremely intelligent but explained things in the detail I wanted in a way that I could also understand. I felt confident that he always was doing the most to get us a healthy take-home baby as soon as safely possible. When we retrieved the eggs and things were going well, we planned on doing a fresh transfer. I had a bit of OHSS so he ended up telling me during my next to last ultrasound before the transfer that it would be safer for me and give us a better chance of a healthy baby to freeze the embryos and let my body heal a bit. I was devastated at first but appreciated that he warned me and then did another ultrasound after that to be sure it was the better route compared with a fresh cycle. I trusted him that it was the right thing to do, and he was right.

Ask everything. Dr K is happy to answer every question you have, but he isn’t a mind reader. Let him know your concerns and he will keep them in mind throughout the course of your treatment.

The clinic was always very upfront about cost and financing options. They provided assistance with figuring out payments, options for meds, etc.

He explained that with the number of twins in my family, my age/health, and the health/grade of my embryos that I had a high chance of success and should only transfer 1 embryo for our first transfer. He said that if it was unsuccessful we could transfer 2 for the next, but that he encouraged us to think of health concerns for mother and babies when twins/triplets come into play.