Cleveland Clinic Fertility Center

The initial consult was thorough and he reviewed my records prior to seeing me and was able to answer my instructions. He was able to see me quickly for my surgery and adjusted course when there was a risk for further complications. The surgery post op is with a nurse practitioner who can only reference his notes, it would have been nice to have spoken to him directly for questions.

Ask questions, he will answer them thoroughly. Take advantage of time with him to ask every question you can think of.

Dr. Mooney confirmed a diagnosis that other providers identified and scheduled me for surgery within a few weeks. He left it up to me about whether the next step would be IVF, he didn’t say it had to be the next step. He was transparent that if it’s a process that we want to begin, the admin would take a while and it was better to start that process now. He set expectations about how often I would see him during IVF and that it was normal to see more of the nurses than him. We are beginning our first IVF cycle on the first available date (3.5 months from consult).

We have insurance so I can’t speak to self pay. PGT-A testing is out of pocket $3800-$5000

I believe single embryo transfer per guidelines

Dr. Tan was incredibly respectful and compassionate. She really listened to my concerns and I felt that I was in good hands. We initially saw Dr. Tan after trying to get pregnant for a year with no luck. She ordered several blood tests for me and a semen analysis for my husband. Turns out we had severe male factor infertility, so she immediately referred us to a urologist. The urologist found that my husband had a grade 3 varicocele, which was the likely cause for his low sperm motility. My husband had a surgery to remove it, and three months later he had a second semen analysis. The test showed improvement, but he only had about 1.2 million motile sperm. I was sure that we would have to do IVF. However, Dr. Tan recommended that we try IUI a few times before moving forward with IVF even though his numbers were not ideal. She said that ivf is a lot of money and can be very invasive, so if we could get pregnant through iui, that would be preferable. She agreed that we could use my natural cycle since I was ovulating regularly (I had used a clear blue monitor for about 9 months). She said that we could move forward with IVF if IUI did not work, and that I could begin preparing for ivf while doing a couple cycles of iui. She was up front that we only had a 10-15% chance of getting pregnant with iui, assuming his post-wash motile sperm count was over one million. We were really fortunate that we got pregnant on our first IUI cycle (his post-wash count ended up being 3.8 million). I really couldn't believe it. After I got a positive pregnancy test, she ordered blood work to confirm the pregnancy. Now we are going in for an ultrasound in just a couple weeks. I was really happy that she did not make me take medication, as I know a few people whose doctors prescribed Clomid even when they were ovulating pretty regularly to slightly increase the chance of pregnancy. I was also happy that she considered our finances and well-being, even though ivf is more profitable for the clinic.

She's fantastic. Use mychart if you are trying to talk to her--she normally reasponds the same day.

None

The IUI procedure was about $670. The blood work, after insurance, and the semen analyses were about $250.

I feel she is very knowledgeable; answering all our questions and trust me I usually have a to . She is also cautious with all my treatment unless I request a change. Even though she doesn’t do all my inseminations I know she is watching. This was shown after our 6th failed IUI, where Clomid put my body into preovulation; she personally called me to discuss the results, showing compassion and even some frustration for us. She makes us feel she is fighting for us to have a baby as much as we are. When we decided to start hormone injections, you could see and feel her excitement for us. That reaction just made us feel more hope and excitement as well. She has made herself available to me as much as possible through the office, email, mychart and phone......And she responds within a day. Overall, Dr Flyckt has been very professional and great to work with during this very challenging journey.

You may not see Dr Flyckt at every appointment; but just reach out to her because she is always available. The clinic has a lot of patients so they have a system; a system that works with so many patients and doctors. But that system can be change if you just reach out and continue that communication as much as you need too

1st 3 mths- medicated cycles with letrozole (days 3-7) using ovulation kits. 2 negative and 1 chemical pregnancy Next 3 mths- letrozole (days 3-7) and IUI. 2 ultrasounds to measure my follicles before the IUI. Once 1 measured at 17mm; triggered with Ovidrel. IUI 2 days later. Took 1 progesterone pill 2 days after IUI. 2 negative; 1 chemical pregnancy. (1st sperm sample was 1.3mil so she put my husband on vitamins. Next two samples went up but I don’t remember how by much...one hit 13mil). Next 3 - Clomid (days 3-7 I think?) with IUI. 3 ultrasounds each time to measure follicles. All 3 times I went into pre-ovulation before the trigger so the IUIs were cancelled. Now we are onto Gonal F injections with IUIs. This is our first month and I am in my TWW right now. Nice responses from injections. 3 follicles measuring 16, 15 and 14. Triggered with Ovidrel then 2 days later had IUI. Sperm sample was 8.5 mil. Have been taking 2 progesterone pills (one morning one night) starting 2 days after IUI.

Our insurance pays for ultrasounds and bloodwork so that is around $300-$500 each IuI. Then we pay Out of pocket for the IUIs and sperm procedure which costs us $700 each time. The meds are partially covered so we’ve paid about $900 total thus far.

Dr. Tan initially set a very comprehensive plan but when it came to the details or having the opportunity to check in with her we were always pushed to a nurse practitioner in her office even after miscarriage. It always felt like there was a disconnect in communication which meant a missed opportunity to course correct.

There’s a very good chance that no matter what path you take she will recommend IVF in every instance even if you have gotten pregnant with IUI before or you were new to infertility. You have to do all of your own homework to understand all of your options

The out-of-pocket pricing plan was very reasonable

She was very nice and it my impression may be partly due to the fact that I am also a physician but I just didn’t feel like she explained things thoroughly for me and she ordered labs and didn’t ever respond regarding what they meant to my IVF cycle. She did send me to a specialist regarding my medical history which was important for me to avoid complications. Leading up to egg retrieval the office didn’t order labs they needed and That partly prevented me from being able to do a fresh transfer.

You have to stay on top of things. I am a physician and I have a good friend who is a REI so I know what questions to ask and what to look out for but for the average person or someone with no medical background they could leave you lost. It is recommmended that I not take estrogen and the IVF nurse was talking about starting my cycle with birth control pills. Speaks to poor chart review and communication from the physicians to the nurses. Dot the Is and cross the Ts then double check

Used an antagonist protocol. I have PCOS but am unable to use estrogen due to having a history of blood clots. I took provera to induce a period. I started gonal F 200 units on day 3 of the cycle and started lovenox at the same time. Lupron Trigger planned Day 14 due to high risk for OHSS with PCOS and elevated AMH

Package $11,700 cost before insurance

Dr. Tan is a very kind and knowledgeable doctor. She is compassionate and truly cares about her patients. She always explains each detail of the plan for that month and answers all questions. De. Tan often calls me personally to discuss cycle details or the plan for that cycle. When things do not go as planned she always explains what the next step will be and we come uo with a new plan, if needed together. Dr. Tan is always cognizant of her words and is always very soothing when things do not go as planned. Dr. Tan is open and willing to offer suggestions and try different methods if one method has not worked. Dr. Tan is always gentle during painful procedures and talks me through it. I have had a fantastic experience with Dr. Tan and although I am not yet pregnant, I have confidence and trust in her as a doctor.

I would advise that the patient goes in with an open mind and be as open and honest about their situation as possible. Dr. Tan is very LGBTQ friendly.

I have PCOS so I when I started my fertility journey in 2016 I was prescribed Metformin in an attempt to lower my sugar and reduce insulin levels as a measure to assist in ovulation. I also had an HSG to ensure that my tubes were not blocked. My first cycle I took Letrozole and it gave me very severe headaches and I didn't ovulate that cycle. The next cycle I tired 50 mg of Clomid and did ovulate,l on that cycle but we did not inseminate as it was a trial run. The clomid was increased to 100 mg and I did not ovulate that cycle although I got a positive opk. I did inseminzte that cycle, but dis not fall pregnant because i did not ovulate. At that point it was determined that opks did not work for me and my dose of clomid was increased to 150 mg and we did a follicular ultrasound in CD, I took the Clomid CD 3-7 and had an ultrasound on CD 10. Unfortunately, that cycle I ovulated too soon and could not inseminate. I did 2 more cycles on the same dose with very close monitoring and I had confirmed ovulation but did not become pregnant. I took a break for a few months and then in the Summer of 2017 we decided to do a cycle of Clomid along with the Follistim pen. This cycle did not work and I did not grow eggs. We decided to take a break and then in September I began having very heavy, irregular bleeding and had a biopsy, but all results were negative. My wife and I are planning to begin again and discuss IVF.

I have paid out of pocket for some services, but my insurance pays for some of the services such as my follicular ultrasounds. I have to pay out of pocket for all medications and IUI. IUI is $300. The cost of medication varies per cycle. Looking into IVF the costs are around $15,000 with medications.

We have not discussed this as of yet.

She was straightforward In discussing the diagnosis, no sugarcoating. She did not really have some information I was hoping for as I had read some trials on my own and she did not make any effort to research them.

Do your own research ahead of time so you can ask all your questions.

She considered clomid 50mg for 3 months but my hormone profile made her think it would not help. I am now on Fertilaid for 3 months and CoQ10

So far, mostly covered by insurance. Genetic screen and sperm banking are not covered at all. Genetic test cost 250$ each. Sperm banking is $700. Also need to pay $140 for STD screen before banking

N/A

Dr. Tan, while great when I was going through diagnosis and fibroid removal surgery, left me hanging after surgery. There was no discussion about when to contact again after surgery or if there were even other steps I could take.

Write down your questions and bring someone to help you remember the answers.

She had my husband go for semen analysis and was scheduled for an HSG, but they weren’t able to complete it because of my cervix position so I got sent for a transvaginal ultrasound then later an MRI to confirm the fibroids. From there we tried three rounds of clomid, and were unsuccessful. I then underwent fibroid removal surgery and just last cycle we’re we cleared to start trying again. I’m not sure what, if anything is next.

All I remember is we paid over $1000 out of pocket for the fibroid removal surgery.

Overall I think that she is a good doctor, but when it come to taken vitamins and other supplements I wish she give more insite. I do like that we only move as fast as I want to go, there are sometimes I wish she were a littlest more pushy on when to move forward. The benefit of going through any doc with Cleveland clinic is at anytime you can message them with issues and concerns.

Fertility oral meds until you ovulate, as period changes your dose may change. Then an HSG to see the movement in and out of tubes.

She was wonderful. She makes a very stressful process manageable and provides her patients with encouragement and compassion. She is thorough in her explanation of circumstances and always positive about our outlook.

Be prepared for anything.

The ultrasounds and bloodwork panels and our visits cost a total of $2,500 over a six month period.

It may be too early to fully ealuate but I can tell you that I have worked with her nurses and students more than her. During all the interactions I did have she was vague and lacked compassion.

Don't be afraid to ask all questions.

She ordered tests that my previous physician had not, like the AMH SCREENING.

$300 out of pocket for blood work and Dr. Time.

The doctor is blunt when speaking of age related fertility statistics and miscarriage rates which was difficult to swallow. I would have appreciated more positivity but she still treated me. She was willing to discuss current literature and is very knowledgeable. She was kind and helpful after my miscarriage. She took the time to call me on her own accord with additional info. A good doctor and person.

Prepare to hear it like it is but know doctor Tan does care about your health and well-being amd will do her best for you.

Clomid 50mg and ovidril triggerwith first IUI. Clomid 100mg and ovidril with second IUI.

1600 for IUI procedure alone. Scan and meds are extra.

NA

Dr. Austin is a very experienced and educated doctor. She can be a little bit blunt, but I felt like she wanted to make sure we were informed and understood our options. For our IVF consult with her, she spent over an hour explaining everything to us in great detail with handwritten explanations and diagrams. For our post-IVF consult (after a failed cycle), she spent a similar amount of time explaining our options and her hypothesis on why things didn't go well the first time.

Dr. Austin can be a bit dismissive at times, especially if she doesn't like your question or doesn't think it's important. You have to keep pushing through. It's best to be very informed (beyond your conversations with her) to make sure you can get what you need from her.

Dr. Austin offered three potential IVF protocols based on my diagnosis and her experience with prior patients. She explained the pros and cons of each (including financial implications), provided her recommendation, and then let us decide. We chose the least expensive option as our first protocol (clomid and gonadotropins), which was a failed cycle with all embryos arresting before reaching blastocyst. After re-grouping with Dr. Austin, we went with the original protocol that she recommended, which was the most aggressive and expensive. That yielded two blastocysts, which we froze for embryo banking.

Insurance covered a lot of it (Linda, in IVF billing is great, by the way!) and then the rest was out of pocket.

I have had three appointments so far with Dr. Mooney, and they were virtual because I was trying to cut costs. He listened to me, gave an ideal and suggestion and made me feel hopeful because this is my eleven years of childlessness. I could not pay for the Hysterosalpingography (HSG) test because my insurance declined, and he requested I contact the Cleveland clinic financial adovcacy to help out.

He is always ready to help you, and helps you to be hopeful

I had not had any treatment cycle with him, and He only requested me to do a uterus scan and Hysterosalpingography (HSG); the Hysterosalpingography (HSG) was carried out by him and his nurses. He is suggesting I do laparoscopic surgery.

I did Hysterosalpingography (HSG) and uterus scan and my husband did a semen analysis. It was about $1500, but I can't remember the precise amount

None, for now, this form of fertility treatment is done at his clinic (Cleveland clinic, bath, ohio)

Weakness: communicating , being personable and eye contact, did not initially want to adjust my dose when I asked for an increase , was not confident in the number of eggs able to retrieve each time( more eggs were frozen than he expected but I had more confidence) Pros: very intelligent, did adjust medication upon request the second retrieval per request and we doubled the amount of eggs frozen, presented all of statistics for someone my age and with my egg reserve(diminished my hope ) but he was honest .

You know your body more than anyone. If there are difference in your expectation and how you want your treatment to be tailored speak up

For the second and third retrieval I used the max dose of gonal F to increase my follicle growth. Ended up retrieving 14 freezing 11 for each of the last two cycles. Also was using low dose hcg, and pregnyl(sp?) used 5000 or 10000 hcg to trigger.

When questioning why I was charged 3 storage fees in summer months to october, the finance person specifically for the fertility procedures would not return my call or talk to me . So I ended up paying for 3 storage fees instead of one for just under $400 for each storage fee . I did have the meds called over to my workplace pharmacy to save significantly on cost . If meds are filled at the cleveland clinic they are significantly higher. The cost for everything including visits are much higher than neighboring hospitals. Having insurance will offset some of the costs for office visits, lab work, OR and anesthesia costs.

Dr. Mooney is unique (in my opinion) because he laid it all out for us, gave us his opinion, but ultimately left the decisions up to us. He is realistic without being too blunt and compassionate without providing false hope. He will allow you to ask all the questions you have and never rush you. This is invaluable when you're spending so much for the outcome you want - from your wallet and from your emotional reserve. I have confidence in Dr. Mooney and our plan moving forward.

Dr. Mooney is a good fit for someone who's looking for a dialogue between their doctor rather than just being told what to do. It feels more like a partnership, but he's just as invested in your success as you are.

We have done Clomid TI cycles and one Clomid/Ovidrel IUI cycle with Dr. Mooney. None of them resulted in pregnancy, but we weren't necessarily expecting them to -- more so to cross t's and dot i's before moving on. We will begin our first IVF cycle soon.

We have partial insurance coverage for ART. We do not know what our IVF cycle will cost yet, but the clinic has an on-site financial coordinator that patients are given direct access to at any time.

Dr. Mooney doesn't consider multiple embryos transferred unless you've had multiple failed transfers or are over the age of 40. He is following guidance from ART regulatory agencies.

She is fairly thorough so far. My initial visit left me with the impression that she thought I was overthinking things and that we would just conceive naturally, when it turns out that would be a miracle due to severe MFI. I feel that perhaps if I hadnt advocated for myself I would not have received all the testing upfront which would have been a huge waste of time, but it's hard to speculate. However once we figured out that IVF is what we will need (which by the way, she never told us as such but rather asked what I would like from her, which I find a very disconcerting way to start a visit with any patient), she did describe everything and answer all my questions well and did not rush me until I had no more questions. However once shes gone, it's very difficult to get a hold of her again, as she doesnt return calls or MyChart messages herself.

Be proactive in your own care.

Still waiting for a cycle once COVID 19 settles down.

Not through it all yet but was told it would cost about 21,000 for a cycle and additional 5000 for PGS testing.

Dr. Goldberg is aggressive with treatment but respectful to you and your wants/needs. He does not sugar coat which I think is important when you want results. He isn’t going to tell you something is going to work when it won’t and will prescribe the best course for your diagnosis.

He isn’t lovey dovey about things so if you want someone that is overly empathetic you may want to look elsewhere.

I am diagnosed with unexplained fertility and have had recurrent losses. We initially did 6 months of drugs including Letrozole and clomid. Then moved on to four unsuccessful Iui with drugs. When we failed our last round, we moved to ivf but needed to wait 7 more months to access health benefits. In that time I got pregnant naturally and miscarried which ended up delaying our cycle. We are now stuck in quarantine and will start when the clinic reopens.

Ivf cycle with meds costs about 20k depending on protocol. The clinic requests I thin roughly 11k as a deposit. We had insurance benefits so those were accepted easily and the finance person took care of it all.

Dr. Goldberg was very good at explaining any tests he was ordering and treatments he was recommending. He was patient with me when I came with a list of questions about IVF, knowing after another unsuccessful IUI that would be our next step.

Don’t be afraid to ask questions, and be prepared to speak with the nurses more often than the doctor. The important thing is they will consult with him anytime it’s needed.

Each IUI was around $1,000 between my portion and my husband’s. For IVF our up front payment was just under $13,000 which included all procedures, the first year of embryo storage, ultrasound monitoring and nurse visits. I paid the pharmacy separately for my injections.

His recommendations are based on your age, and I was 2 weeks from my birthday which would move me from recommending a single transfer, to recommending transferring two. They left the final decision up to me, reminding that the goal is always a healthy singleton pregnancy to reduce as much risk as possible. We opted to transfer one, which was successful and I’m glad we didn’t do two, as that would have increased our risk of complications.

Dr. Flyckt was very very optimistic about our chances for success. More optimistic than was actually realistic or achievable. She is a very thorough doctor and she cares deeply about her patients. She has since left the Cleveland Clinic for the director position at the fertility center at University Hospitals Cleveland.

She can be overly optimistic so be sure to do your own research on actual success rates for different treatments and procedures.

Dr. Flyckt had us doing letrozole with timed intercourse and was certain we could see positive results within 3-6 cycles.

Diagnostic costs and costs of clomid and letrozole along with progesterone supplements were covered by insurance.

Dr. Austin spent over an hour with us at our initial consultation and went over all of the ins and outs of IVF treatment, along with our chances of success. She has also been very collaborative with my PCP in regards to all other health concerns and how they relate to my upcoming IVF treatment.

She will not sugarcoat the truth so be prepared for any answer she could give you.

Antagonist protocol with Follistim, ganirelex and HCG trigger. I have not started yet.

We get the Cleveland clinic employee discount so out of pocket costs for actual IVF monitoring, retrieval, 1 transfer and first year of storage is $5800.

Dr. Austin stated in our consult that she always transfers only one to start but understands the desire to transfer more than one after a few failed transfers.

Our initial meeting with Dr. Flyckt was great. She has a very kind and caring demeanor and she really listens. She was also happy to answer any of our questions and explained her initial hypotheses for our infertility and why she was recommending specific next steps. Now that we've completed all our necessary testing, it's taken a little while to get to our treatment plan. I don't necessarily think this is Dr. Flyckt's fault (it seems like CCF has some communication issues internally), but it's definitely frustrating to not be able to contact Dr. Flyckt directly or get a timely response.

She is a very busy woman and is in high demand. Currently, Dr. Flyckt has a long wait list to see her. For our consult, we had to wait 4 months for the earliest appointment. After our initial consult, I tried to schedule a follow-up appointment to discuss our treatment plan and was told that the wait to see her is FIVE months for current patients! That's crazy! Since I can't wait that long to meet with her in person, my only opportunity to communicate with her is via one of the nurses or through MyChart (though I don't recommend that because she is the first to admit that she doesn't have the best response time through MyChart). All in all, if you don't have the luxury of waiting, I would advise that you consider one of the other REs in the CCF practice who has a shorter wait time. I was eventually diagnosed with DOR and waiting for 4 months just to find that out was a lot of time wasted.

Before my DOR diagnosis and while waiting on my husband's updated semen analysis, I took Clomid and progesterone suppositories for time intercourse. Her guidance was to do this for 3 cycles. That plan made sense up until my husband's semen analysis indicated that he has severe male factor infertility and I have DOR. I'm still waiting on an updated protocol, but I would hope that IVF is our recommended treatment plan give those two issues.

I've only done medicated timed intercourse thus far, so it's the cost of Clomid and Progesterone, which are fairly inexpensive. The lab work and office visit were close to $1k.

When we first met Rebecca we knew she was our doctor right away! She was compassionate about her job and our situation! She kept us positive and was always reaching out to see how we were handling each step of the IVF process. She gave me her cell phone number and would call me regularly! Although our journey had an unexpected result she was able to come up with a new plan for our future cycle of IVF and kept us hopeful we could still have a baby!

You will not be dissappointed! She will go above and beyond for your care!

I was on an antagonist protocol! I did a small dose of HCG (5U), follistim starting at 300iu; also triggered with lupron and HCG. I produced 12 eggs, 8 were mature and 7 fertilized. I was called daily by the lab with progress but unfortunately on day 4 received a call that all the embryos stopped growing. We were unable to freeze anything and we're devastated. Rebecca thinks it is related to poor egg quality which never crossed my mind since I am only 28.

Monitoring hours were from 7am-8am. I was able to schedule a time and was always seem on my scheduled appointment time. The US and lab always ran effeciently and smoothly.

After insurance we owed a little over $1,000. After a failed IVF cycle and 5 IUIs at UH we are about $5,000 in debt.

Rebecca felt if I had 1 very strong healthy embryo it would be best to transfer one

Dr. Flyckt took her time to really listen to me and my partner about our struggle to get pregnant. We felt very welcomed by her and she answered all our questions in a positive & truthful way. We needed her support to continue with the IVF cycle, because we have had 2 failed IVF cycles before at a different clinic and we didn't know the reasons why prior IVF cycles failed. Dr. Flyckt explained everything and really took her time to listen to us, and encouraged us to try another cycle of IVF which resulted in a baby. We are very thankful to Dr. Flyckt and her team.

Very knowledgeable, polite and experienced doctor.

Protocol used was the "AA (Agonist-Antagonist) Protocol, which produce the maximum # of eggs (for me was total of 10 eggs) and it resulted in 2 good quality embryos which were both transferred and resulted in one healthy baby. My baby is 2 months old currently.

Monitoring was done in the morning, between the hours of 6am to noon. Even though I had a set appointment or was late to it, I was seen.

IVF procedure cost was $11, 615, meds are anywhere from $3000-$5000.

The number of embryos that were transferred were 2 and resulted in 1 live birth. I personally think that multiple transfer of embryos is better since it gives a higher chance of embryo implanting in the uterus and producing a pregnancy.

It may have been more a result of the Cleveland Clinic's system, but she never remembered our history, would just read off of the chart when we came in. We were given incorrect dates for timing of appointments/procedures (which as you are all aware, timing is everything for getting pregnant). Prescriptions were called in late. Was left waiting for appointment (took off of work for) while I overheard her chatting with a nurse about recipes for more than 30 minutes. Felt like they just shuffled you through the program. Billing was terrible and inaccurate. Couldn't get a hold of anyone to discuss.

Make sure you follow up continuously and get what you need. Dr. Flyckt is compassionate when you speak to her, but it can be hard to get her attention. Again, I believe she is a good person, just a product of the Cleveland Clinic machine.