Columbia Fertility Associates

I had my first meeting with Dr Sacks via a Zoom call. He was punctual and had a laid back (but professional) demeanor. This made it easy to talk to him. I already had embryos created at another lab and had them transferred to the Columbia clinic due to carrier BMI requirements. After introducing himself and discussing my embryos and the next steps in the transfer process, he asked about my journey to that point. He seemed to genuinely curious about my experience and interested in how I was feeling. He then, welcomed and answered all of my questions. The next time I would see him was on the day of the transfer. Actually, I did not interact with him on this occasion, but I did see him as he walked back to perform the transfer. My carrier said he and the nurse made her feel at ease and asked about her kids. She said the procedure was not uncomfortable at all and was over before she knew it. As far as the results, we are awaiting confirmation of pregnancy through lab values now.

Feel free to ask him any question. I had felt that some of my questions might perceived as basic or ridiculous. He made every one of them seem legitimate and took them seriously.

Frozen Embryo Transfer fees: 3,700.00 Monthly storage fee of embryos:110.00

If you can try other doctor in DC, please stay away from Dr. Rifka! My experience with him was horrible. I went to see Dr. Rifka on March 31(Thursday Morning) and wanted to consult on egg freezing options. I told him that another doctor at this clinic (who left) introduced the egg freezing to me seven years ago while I was single and I told him I am married now and had a baby recently. I also told him I wanted to preserve my fertility possibilities as my husband and I want more kids. He seemed very reluctant to spend time talking to me. Our total conversation was about 6-7 minutes and he told me to do a blood test and also guaranteed me that he would let me know whether I am a good candidate for egg freezing and also let me know the estimate of the expenses. I received a call from his nurse that afternoon who told me to go to the office on April 4. I went to the office on April 4 and a nurse delivered a calendar to me and also gave me some birth control pills. The whole process took about five minutes. No explanation on the process or my blood test results. Based on the calendar, I should take birth control pills until the next appointment with Dr. Rifka on April 25. On April 13, I received a lab result from Quest Diagnostics showing my AML is extremely low. I wrote to Dr. Rifka inquiring my treatment plan, my lab results, and the costs estimate as I have never received any financial information from his billing team, and requested a follow-up consultation ASAP. His staff called me and arranged a follow-up consultation on April 20. My husband and I went to see Dr. Rifka together. My husband brought up topics related to egg freezing, embryo freezing, and IVF which he learned by some google search. Dr. Rifka explained the differences. I asked Dr. Rifka why he did not explain all these options to me on the first visit and he said "You Did Not Ask and You Said You Wanted to Know Egg Freezing." After discussing the pros and cons of egg freezing and embryo freezing with him, my husband and I decided to go with embryo freezing. He then suggested disregarding the current calendar I have, and starting over the entire process again. I got confused and I asked him why I needed to start over again and he answered the two processes are completed different. I did not trust him and brought out the calendar and read the instructions of the calendar in front of him. When he saw my calendar, he asked "Have you already taken birth control pills"? I answered "YES, YOUR NURSE GAVE THEM TO ME ON APRIL 4 AND I HAVE TAKEN THESE PILLS FOR 16 DAYS"! He then said "we can still use this calendar...." I also ask him the estimate costs and he said his billing department will let me know soon. Also, he started showing me the blood test results I did on March 31 which also shows I have very low egg reserves. My concerns about this doctor: 1. He did not share the blood test result (which shows actually I have very low egg reserve and may not be a good candidate of egg/embryo freezing) with me until my second visit; 2. He forgot that he delivered a calendar to me and already put me on birth control for 16 days when I saw him again; 3. Very bad communication. 4. He never thinks for the best for the patient. He spent less than 10 mins on a consultation before initiating a treatment plan. Patient has no idea where the entire process is heading to. 5. His financial team never reached out to provide an cost estimate. 6. There is no medical information on my patient portal. I requested them to upload my medical records and lab results twice and nothing has been posted. My husband and I decided to switch to another doctor which we think is one of the best decisions we have made.

STAY AWAY FROM HIM

Never got an cost estimate

Dr. Sacks is friendly and helpful. He was very sympathetic when he performed my HSG, which I was very nervous about. He gives me realistic expectations for my procedures, and listens to my questions and concerns. He did once have to take another call during an appointment, but otherwise, I feel that I've had his full attention. He has never hassled me about my weight.

Things can move quickly, so make sure you know what you want to cover (questions and concerns) before your appointment, so you can make sure those are addressed.

One cycle with Clomid, one cycle with letrazole (since I had done 3 total previous Clomid cycles, and I wanted to try something different). Otherwise, I have had very standard medicated IUIs. I chose to do medicated cycles because, while there is no evidence that I have fertility issues (I'm queer, and don't have access to sperm/reproductive sex), I'm also nearing 40, and want to make the best use of my time and money.

For a self-pay (no insurance) medicated IUI, I pay around $1700 each cycle (not including the cost of sperm), plus the cost of medications ($15-$50) and the trigger shot ($150-$250).

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Strengths: Dr. Sacks was willing to explain the IVF procedure to me in detail. He seems knowledgeable about my condition and is also up to date with the latest research. He is patient and happy to answer mostly all of my questions. I really appreciated his good bedside manner when he gave me the bad news of my nonviable pregnancy, explaining also the possible procedures going forward. Weakness: My cycle was canceled because of poor response. During my monitoring sessions he saw I was not responding but he stayed with his protocol. He also decided to wait that my body responds without increasing the dose, even though I told him about how I responded in previous treatments so it was never clear that he took that into account. Also, during the cycle it was not very well communicated if the retrieval was possible or not. I guess he was hoping my body responds. However, all the cycle lasted 29 days and I ended up ovulating on my own. I would have expected him to see that my ovulation was coming and communicate it to me that the procedure was not possible (I got pregnant though but it was a blight ovum)

Be sure to ask all of your questions during the routine visits, and also via e-mail. Also, make sure to be honest and direct with him if you have any problems with the clinic or the nurses, he'll get involved.

Estrogen priming, then 12 days of stim meds: First 3 days Menopur 150IU + Gonal F 150IU, remaining 9 days only Gonal F 150IU, and Estrogen. No eggs were retrieved, they weren't ready in size. I ovulated on my own though after 26 days since starting stimulation, and got pregnant (blighted ovum).

I have an insurance coverage of 50K for procedures, I have a $20 copay for every visit. Meds were mostly cover for this cycle and I payed approx. $700, but already reach my coverage of 10K.

Dr. Forman is awesome. He’s very responsive and always lets you know the possible outcomes. Obviously what Him and the embryologists do is incredible the science is there but there’s the parts they can’t control and he lets you know up front. He also lets you make your decisions without pressure but tells you his point of view. I trusted Dr Forman the whole step of the way and very grateful for him and all he’s done for us.

Trust his judgment and take notes if you’re one that needs to know all the details!

He changed my protocol after my first clinic wasn’t successful as I ovulated before they went in for retrieval. He used lupron micro flare along with follistim and menopour.

Retrieval cycle including PGS testing (not Transfer as insurance covered) around $14,000. Didn’t have to pay for monitoring as my insurance covered this as well.

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I've really enjoyed being a patient of Dr. Sacks. He is warm, straightforward and optimistic about my chances of having a child. He has answered all my questions and taken us through what feels like a logical progression of fertility testing and treatments.

No advice for Dr. Sacks. I have advice for the nurses.

To be honest, I don't remember all the treatment strategies and protocols and I have been seeing him for over two years with a year break in between. He did a number of tests when I first started working with him to confirm I didn't have various fertility issues. Then after it was decided I had unexplained infertility, we moved to IUI. I go into the clinic when my period starts for blood work and a transvaginal ultrasound. Then I've started clomid shortly after, taken a trigger shot, and had an IUI. Still working with him.

An IUI without insurance costs $1,620 plus copay and medications.

I wish I had picked another doctor who could deign to be more informative and less paternalistic. DC has a dearth of providers so I picked this clinic based on CDC live birth stats. One of the biggest failures was not assigning a triage schedule for handoffs because intervention is so time sensitive.

Go to another practice if you have to cross state lines, or pick another physician—but you will still have to deal with the negligent office practices.

Dragged feet and wanted us to pay for IUI when IVF would have had higher indication of success considering both parents’ age. I had a complication after egg retrieval: no one checked in with me so I had to seek urgent care, and no one asked about how I was tolerating ovarian stimulation meds. I had a singular positive experience with one nurse who only works occasionally and offered assistance with triggering.

Copays of about 3.5-4K

He was personable and friendly. I felt like we had a good relationship. I felt he listened to me, but sometimes I wasn't sure what the next step was and had to ask. He was easy to talk to during visits and was present for every one of them, which made it a little easier to come in

Stay on top of your care and be honest with him. While I liked him as a doctor, the back end systems of his clinic are very messy and painful to work with at times.

Usually a cattle call, would typically take anywhere from 20-45 minutes to get blood drawn and monitoring completed. Clinic seems understaffed and under-resourced.

Canceled cycle $2,000. Embryo Transfer approx $12,000, Egg Retrieval $10,000+

Dr. Sacks was open to whichever we wanted and had an appropriate conversation with us about our options.

I started with Preston Sacks prior to TTC. He was always forthcoming with results and painted clear pictures of the obstacles to come. He is very easy to talk to and was very responsive to emails. Early on he determined that the issue was a male factor and referred us to one of his colleagues. He even took the time to set expectations on what to expect when working with the specialist which was extremely comforting. When dealing with infertility, having information is very important as it reduces anxiety regarding the unknown. He was very thoughtful and honest at ever step.

Don't be afraid to ask questions. Even if you think they are silly.

We used clomid and timed intercourse for 3 cycles. When I didn't respond to clomid he used the step up method. After the 3 cycle, he ordered an SA for my husband. Upon the results he suggested IVF. Due to insurance/money issues we took a break.

Competitive compared to other clinics

Dr. Sarhan was wonderful. She knew the science/medicine and knew my case intimately well, plus she had wonderful bedside manner. I felt I could trust her. The proof is in the pudding - thanks to her, I had a successful pregnancy.

Find out the days she will be at your clinic (in my case it was Tuesdays and Thursdays in Arlington) and arrange your work schedule to be available those days for all monitoring. You will get a ton of face time with her.

We used the antagonist protocol for each freeze-all retrieval. I had endometriosis so Dr. Sarhan had me suppress with birth control pills for 6-8 weeks before each frozen embryo transfer. She recommended against fresh transfer due to the endometriosis. It took me three retrievals and three transfers to achieve a successful pregnancy/live birth.

The ‘monitoring hours’ system made t super efficient - I was in and out quickly.

Insurance covered everything, so I don’t know.

We only transferred single embryos until the third FET, when she recommended increasing to two embryos.

I have been very happy with Dr. Sacks. He's been doing this a long time and really knows his stuff and knows the latest research, etc. He's always very responsive over email, which I really appreciate. And I have felt like overall he does a good job of balancing being realistic with being gentle. Like most fertility doctors, he's not overly emotional or super outwardly compassionate, but I always felt like he cared (he wasn't harsh) and also like he was telling me how it is (not sugar coating). He's often hesitant to give specific chances/percentages, but when he has them, he shares them. There have been a couple times where I wondered why he didn't suggest or say something different, but overall I have been very happy. He also has a really good, calming bedside manner. He's very chatty and personable, which helped put me at ease during a number of procedures. One example: Before my egg retrieval, the nurse had trouble getting the IV started and I ended up passing out. I was very nervous about whether it would affect what happened that day, but he came in and immediately put me at ease, shared stories about himself passing out, etc.! He also remembered personal details about me in a really thoughtful way that I think went above and beyond.

Be prepared for the fact that he's very chatty :)

In summary: 6 natural IUIs with donor sperm; 1 cycle with Clomid where I had the bad side effect that affected my vision; 5 IUI cycles with Letrozole. That included an ectopic pregnancy (after an HSG test) and ultimately doing another HSG test and finding a blocked tube (likely from the ectopic). Then moved to IVF and egg retrieval followed by PGS/PGD. Resulted in two embryos. First resulted in a miscarriage. After that, did a bunch of tests via bloodwork to rule out immunological issues. As of this writing, six weeks pregnant from second FET.

Monitoring is done between 7:30-9:30 and generally I found it to be pretty efficient. Some days I'd be out of there in 5 minutes, if all I needed was blood work and there weren't many people there. Other days, it might be more like 30 minutes or so, if it was more crowded and I needed blood work and a sonogram.

I did not have insurance coverage so it was very expensive. Natural IUIs were $500. Monitored IUIs were $1,000. Medicated IUIs were $1,500. IVF with FET was about $18,000 not including medication or the PGD testing, which added about $2,000. Just the FET was $3,500.

Dr. Sacks is extremely knowledgeable and is able to speak to current literature and studies clearly while taking your individual situation into account. Dr. Sacks is always on time and addresses any questions you ask, though during standard monitoring appointments, his time is somewhat short. For consultations, he will take all the time necessary.

Be prepared with questions you want to ask him

Dr. Sacks diagnosed me with PCOS approximately 10 years ago. He treated my PCOS with metformin and later birth control pills. When trying to conceive, I completed approximately 12 months of treatment with clomid while monitoring my cycles, Dr. Sacks recommending clomid for PCOS treatment. For most of those cycles, I also utilized ovidrel to trigger ovulation. At the end of approximately 1 year, Dr. Sacks conducted a laparoscopy and recommended we proceed with IUI. Following this, I complete IUI, again using clomid and ovidrel. To date, all cycles have resulted in negative pregnancy tests.

IUI was partially covered by my insurance, so that cost was $500 per cycle plus approximately $85 for ovidrel.

While we're still in the midst of our treatment and have had several setbacks, including a recent miscarriage, Dr. Sacks has been empathetic and present throughout our entire time with him. He's always done our exams; our procedures; and been responsive to our emails/calls. After a very negative experience at another doctor's office, I have nothing bad to say about Dr. Sacks or his team.

Come prepared with what you want to know, questions/concerns/etc.

for IVF: I was on 150 mL of Gonal F and 150 of Menopur (plus ganirelix) to stop ovulation. The first cycle, none of my embryos made it to blastocyst. Second cycle, Dr. Sacks didn't change my treatment (he said that he was happy with our response, so hopefully, we'd get a different batch of embryos) We got 10 embryos--3 made it to blastocyst--and after PGS, we got two back One was transferred, which subsequently ended in a miscarriage.

I found the experience to be efficient...I can get in and out in less than 30 minutes in the morning, before even going to work.

I couldn't tell with you with certainty--some things our insurance covered...we paid for drugs out of pocket, to save on our lifetime insurance maximum.

We asked Dr. Sacks for his recommendation--and he said one. So we went with one. He talked us through the risks of both.

Weakness: I feel that Dr. Sacks could have better explained my initial test results and what that meant for my likelihood to produce low # of eggs with stim meds. I did most of this research on my own but know he could have prepared me for the less than optimal results BEFORE choosing treatment. Strengths: Dr. Sacks is clearly an expert in what he does and is more than capable of answering the most complex questions. He has always been patient and willing to explain procedures and outcomes in great detail. Dr. Sacks always has a good bedside manner and is very kind and friendly.

To ask for detailed explanation of test results and what he will be looking for in continuous testing before and during rounds of treatment. He has the answers, there is just so much to cover to coming prepared with pointed questions is helpful.

First round of stim meds for egg freezing was 300 IU of menopur. I only needed one ganorelix shot before retrieval as I ended up on the menopur for longer than expected - 13 days.

Very efficient monitoring appointments. Even when it seemed crowded, their system is optimized for quick visits to get you out the door. I also like that the time frame is early morning so we aren't forced to miss work.

First found of egg freezing was about $8,300 plus the cost of meds. Second round is a little lower to account for freezing cost already covered, about $7500. The third round (not yet completed) will be free besides cost of anesthesia ($500) and meds. This is part of a "buy 2, get one free" egg freezing package.

Dr. Sacks has an excellent bedside manner and treats patients as if he is personally invested in their well-being and success. He worked closely with me to develop a treatment plan and communicated every step in language I could understand. He gave his opinion frankly, but was kind and supportive.

Be honest and open to honesty

Because of my favorable initial testing, Dr. Sacks recommended a conservative approach. We began with unmedicated IUIs (3 chemical pregnancies, 3 negative tests) and progressed to IVF--for insurance coverage reasons--with low-dose medications (9 eggs retrieved, 7 fertilized, 4 frozen embryos, eSET) which resulted in a chemical pregnancy. Dr. Sacks helped me overcome my reluctance to medicated IUIs (1 negative, 1 positive), the second of which resulted in a vanishing twin and birth of a singleton.

It did not feel like a cattle call. There were other patients present in the waiting room, obviously, but I never felt rushed.

About $16,000 in totol

Because of my strong aversion to having twins, Dr. Sacks advised an eSET, which proved to be the right choice as I still conceived twins (one vanishing at 8 weeks).

I can't recommend him highly enough. Dr. Sacks was extremely caring and thorough. He is very knowledgeable on all subjects related to fertility and was able to help us understand what was known by science and not known by science related to our particular circumstances. Sometimes he felt rushed at non critical visits, but if I initiated he was always available to answer questions. When it came time to handling difficult times/news with us, he was always patient and caring. Dr. Sacks also helped us avoid unnecessary procedures by helping us weigh the pros and cons of different options. I am so grateful that he was our doctor.

Be sure to ask all of your questions. He may seem rushed at times at routine visits (e.g. Ultrasounds) if the schedule is backed up, but he will always provide valuable answers to your questions. Also, he's very responsive by email.

I started with Climid, then the off-label breast cancer drug (can't remember the name) combined with six IUIs, then two fresh IVF cycles. My first IVF cycle none of the eggs fertilized properly (initial failure then ICSI after 24 hours but none implanted). The second IVF cycle we did ICSI and had 7 embryos, one of which we implanted and gave us our beautiful baby boy! (I have PCOS but it seems, perhaps, that the issue was the egg-sperm interaction).

The early ones were strssful for me when I was new and leaning the system, and only one nurse seemed sensitive to this. Once I got the drill down, the monitoring visits were fine.

We had Fertility treatments covered by insurance, so it was the cost of the premium (I opened a secondary plan to cover IVF), copays, and some of the drugs for IUI

I really enjoyed working with Dr. Sacks. He even responded to emails and followed up with me when I had complaints about his staff. My first two transfers with him resulted in pregnancies, and we would have had two children now, but I had a rare occurrence of amniotic band syndrome in the 12th week of my first pregnancy that resulted in the internal amputation of the baby's arms and a portion of its skull, which likely would have resulted in a miscarriage later in the pregnancy or a child who could not survive outside of the womb. For those reasons, we decided to end that pregnancy. On my second round of IVF, Dr. Sacks used the same protocol and medicine for me, although I was four years older, and now over 35. That resulted in only one usable embryo, and I wished that he would have changed the protocol to accommodate for changes in my eggs and body. That transfer did not work, and as we were paying out of pocket for that round, we are not able to try again.

Ask as many questions as you need. Never feel like you can't reach out to Dr. Sacks with questions. If you want a doctor with a very gentle and lovely bedside manner, Dr. Sacks is a good bet.

The monitoring appointments were a bit of a cattle call. Earlier in the morning took longer. But this was fine for me because I couldn't guarantee I would be there on time if I had a specific appointment time.

$10k for IVF, another $2k for ICSI, ~$2,400 for freezing, plus medication

The doctor asked what we were comfortable with -- would we be OK with twins? When i expressed that my husband was terrified of twins, he said he would only do one embryo at a time. It seems like he would not do more than two at a time.

See earlier comment

He is incredibly knowledgeable and up to date with the latest research; therefore I would not hesitate to engage him and ask as many questions as necessary to make you feel comfortable.

Monitoring is easy - everyday from 730-900 and the wait is not that long.

I want lots of clear information about process and pros and cons of any options, to help me make decisions. Dr Sacks took tons of time to explain all of the treatment options we had to choose from, why he recommended IVF over IUI and what was a reasonable success rate. When deciding on how many embryos to transfer, he spoke to my husband at length about the statistical possibilities of multiple embryos leading to multiple births from an educated, well versed position. He was supportive of all of our decisions. He had a great sense of humor and brought levity to the tense medical procedures. Two years after a successful IVF cycle, I emailed Dr Sacks out of the blue to ask him to participate on an educational panel to teach people about fertility treatment and options and he jumped at the opportunity to help out - on a Sunday! He is an all-around great doctor and person.

Try to get him talking about his personal life or his kids :)

Monitoring was in the morning, but always made me a little late to work. I think hours started at 730am

A frozen cycle was $5K plus a mandatory $500ish for cracking the embryo. I can't remember the full fresh cycle from 2012.

Dr Sacks recommended transferring 1 embryo due to my age and the way the embryo looked. He would have been ok if we wanted to do 2. He spoke at length to my statistics-expert husband about the rates of success with one or two embryos.

He tested everything and finally found the issue with my pcos. It was a hormone imbalance. He prescribed a medication and after about 7 months my period became regular. He started off with a low dose to gradually bring on change. My period was on time and fantastic for the first time in 18 years. He did a uterine xray to check for blockage which no one ever did before. And with that info we talked about what was best. He started with clomid slowly increasing the dosage, then injections. After no success I took a break for about a year. I went back to him in 2014 and we picked up right were we left off. We did clomid, and he did a uterine xray. things were still the same and then boom pregnant on first cycle back. He monitored me for the first 8 weeks and then I left. He is AMAZING

Have patience. He is knowledgeable and kind. This is a long process and frustrating at times. He will be there to walk you through it and keep you hopeful.

He was by the book. Started with clomid and then moved to injections. He didnt linger. If it wasn't yielding results he looked for he had no problem moving on to something else which is what i liked

Minimal. My shots were covered ( i paid $75) and my clomid was covered. I paid a typical copay of $20

Dr. Sacks was very friendly at the initial consultation, but I never really spoke to him again. It may have been different if I'd had a longer relationship with him, but I got pregnant after my first IUI. Basically, after the initial consultation, I saw Dr. Sacks at the HSG and the IUI, but he didn't really talk to me. The nurses handled all communications.

Dr. Sacks helped me get my son for which I am forever grateful, but it all felt very clinical and impersonal.

I was with Dr. Sacks for two cycles. The first was unmedicated and unmonitored, but the home ovulation tests were never positive, so I asked the nurse if I could do an unmedicated, monitored based on my Internet research. I never spoke to Dr. Sacks about strategies or protocols. When the nurse scheduled my IUI, she told me that Dr. Sacks wanted me to have a trigger shot, so that was the only medication I used for my one IUI.

I don't remember exactly. The testing, bloodwork, and ultrasound appointments were covered by insurance either at my usual co-pay or under the terms of my deductible. I had to pay for the IUI. I think it was about $750.

Dr Abbasi is very straightforward and not as chatty as other doctors. However I felt that she was very interested in coming up with a protocol to address my miscarriages. She ordered tests that showed a bacterial infection and thus put me on a protocol for antibiotics. I had been taking Chinese herbs on my own for months while taking a TTC break so I insisted on doing one unmedicated IUI. She agreed to let me do only one and insisted that I do back-to-back inseminations in two days. It worked out well because I did get pregnant but it turned out to be my fourth miscarriage. Then she really went to town on bloodwork and ordered special immunological testing that was not considered mainstream. She sent me to a hematologist to interpret the results. He recommended that I do IVIG prior to transfer .

I would say that she is an excellent doctor so don't be put off by her manner. She might be a bit brusque but she used to be a military doctor! I think she was in the Army.

Dr Abbasi let me do an unmedicated cycle but also antibiotics for a bacterial infection. I did use a trigger shot.

I did a double IUI for an unmedicated cycle with a trigger shot. Will have to look up my costs!

Dr Sacks is a very kind man. He has a good bedside manner. My only critique is that he did not seem to be that focused on my treatment plan. I did 12 IUI's (half medicated and half unmediated) and had 3 miscarriages. I know that hindsight is 20/20 but I would have liked to see him try harder to determine a cause for the miscarriages and recommend more aggressive treatment.

I would tell a prospective patient that she should make sure she doesn't stay on the same protocol for too long if success is not happening with whatever Dr Sacks is doing. Although it is super hard to go on the internet and research other things, and we tend to assume that the doctor with the training knows what he is doing, and there is always value in being patient while TTC, sometimes you have to push!

I myself wanted to do unmediated IUI to start since I had a good HSG, good ovarian reserve and was 34 years old. I did 5 rounds. Then I went medicated with a trigger shot and Clomid. I had a miscarriage on my second medicated IUI. I had two more miscarriages with medicated IUI. Then I went for the gonadatropins but the change in protocol was at my request. I did not get pregnant on any IUI with gonadatropins. At this point I decided to change doctors and take a break!

I did only IUI with Dr Sacks. I will have to go back to my records to look at the price for unmedicated but the fee for medicated was around $1000 per cycle not including meds.

Dr Butler doesn’t beat around the bush at all but at the same time he is compassionate. I’ll say again it’s been very hard to go through some cycles without my husband by my side. I’m thankful for supportive family and friends but it makes it easier to know that he truly cares.

Ask questions he is a wonderful teacher! He’s able to explain in the some of the simplest ways.

Clomid times intercourse Injectables with IUI (Gonal F) responded well. One successful cycle but ended 13 week miscarriage

With insurance 50%. Now we have no coverage, we pay 100% of all cost.

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He is an extraordinary physician, who is well educated, professional, intelligent, well-spoken, gentle, kind, and very caring. Dr. Butler simplified things so that I/we could fully understand the procedures beforehand and explain things in great detail. He was patient and took the time to speak with me and my husband and answer all questions and concerns.

Be open-minded! Write down all your questions before your consultation. Take notes while he is talking. This way you can ask questions towards the end of your discussion. Relax and know that you are in good hands. He has years of experience and has been successful in diagnosing and helping many patients conceive and give birth. Relax! Relax! Relax!

We tried Clomid which we thought would work, but no results. Did injections and was hopeful, but no results. IVF- but results -Twin girls