RMA of Colorado - Conceptions Reproductive Associates

Dr. O'Shaughnessy has a very east-coast demeanor, which can come across brash, especially in the first instance of meeting her. However, what is clear in every interaction is that she is a dedicated clinician who keeps up on the science in the field, and is invested in using evidence based new techniques to improve outcomes for patients. However, as you progress through treatment you begin to notice the subtleties in her personality and the interactions become easier. The first appointment is so loaded with emotion, and she is matter of fact. I knew I wanted a clinician who wouldn't give us false hope and I strongly feel she did not do that. She was clear and concise and open about what our chances were, and that we have to play the odds and numbers game with each round. For people who want a soft, collaborative clinician, I think you should seek another provider (there are others at Conceptions who I hear are excellent). If you want brass-tacks, clear communication, and someone who knows the science from all angles, including emerging science, Dr. O excels.

Prepare yourself for the facts before you go in: if you're looking to be reassured that you 'don't need infertility treatment', you're unlikely to get that here. She will be concise and clear about what she considers the best course of treatment, and whether alternatives are something you have the time to consider. This can feel abrasive, as it's a tender subject. This isn't her being harsh, she's being realistic. I've learned through this process that false hope is incredibly damaging. You can be confident that Dr. O will not provide false hope or flowery promises when the science or your situation doesn't warrant it.

We were diagnosed DOR and mild male factor (low morphology), complicated with only one ovary and my age (37). My AMH indicated I would likely be a low responder, so we started at high doses for stims. Omnitrope was added for egg quality due to age and knowledge that the number of eggs retrieved would be only half. Stim cycle 1 was Estrace priming, then Menopur/Gonal F +Omnitrope, prevented ovulation with Ganirelix. Stims for 10 days. We got 7 eggs, only 2 fertilized by ICSI but both became advanced blasts that were biopsied and sent for testing. Both aneuploid. In follow up discussed that it was a positive development to get 7 mature eggs, and that 2 made advanced blasts. The genetics are a dice roll, and we ended up on the wrong side of the odds. Stim cycle 2: doses changed slightly, and we did stims 2 days longer but medications remained the same. 8 eggs retrieved, 6 fertilized by ICSI, but none made it to blast. In follow up, Dr. O believed that the stimulation was superior to first round (more eggs, better fertilization rate), but that again, we were on the wrong side of odds. We are approaching our third retrieval, which I am learning is not uncommon for DOR and advanced maternal age.

The total combined between insurance+self pay was ~$11,000 for egg retrieval (monitoring, surgery, follow ups, embryology), medication was ~$20,000 (insurance pricing+ self pay omnitrope). We also did self pay of ~$2500 for assisted hatching/PGT-A/biopsy

Dr. Chiang is very personable and our appointments with her never felt rushed. She took the time to go through all IUI or IVF steps and answer any questions we had. She was open to tweaking my FET protocol based on concerns about potential autoimmune issues that I had and explained the benefits/risks of those changes. You still have to do your own research and come in with your own questions though. Dr. Chiang can sometimes feel "wishy-washy" about decisions. Perhaps, she wants you to feel in control of your treatment, but sometimes my husband and I had just wished that she, as the doctor, would make a firm decision.

Come prepared having done your own research, knowing your body, and with a list of questions.

We did two IUI cycles with letrozole and a trigger shot. She chose letrozole for me based on high-ish antral follicle counts during my baseline testing. Each cycle produced two mature sized follicles; however, neither cycle resulted in pregnancy. We've completed one egg retrieval cycle. Dr. Chiang had me on a pretty standard protocol with gonal-f, menopur, etc. I stim'd for a pretty short amount of time and during our re-group, Dr. Chiang said I should have stim'd for one more day, which may have helped more of my eggs mature. I know the first round the doctors are getting to know how your body responds, but it was disappointing. Who made the call for me to trigger so soon?

Our IUI cycles were partially covered by insurance, so we paid about $500 per cycle. IVF was not covered at all and we will pay about $25,000 (including medications) for one full cycle.

Dr. Bush was very straight forward with explanations of our diagnosis. Which I respected because my husband and I were the ones always asking why? If we did not understand it, he would take the time to re-explain the process and procedures (even draw pictures)! He showed his concern with our two failed IVFs and you could tell he was researching everything he could to help us succeed for the next. If you are looking for someone warm and cuddly, he would not be it but his compassion shines through when he is doing the procedures and walking you through the process. He brings his positive attitude every time we see him, and we truly appreciate it.

My advice for a prospective patient is what you see is what you are going to get with Dr. Bush. Expect the information to come at you fast and rapidly but know he cares. It will help if you do research on your end - that way you can have a better more logical conversation with him. He will do what he can to get you pregnant and he is good at his job!

Treatment strategies/protocols IVF #1 - baby aspirin everyday; hCG 2x before transfer, 2x after transfer; 75mg progesterone shots; medrol 4 pills for 4 days before the transfer; Estrace 2mg morning and 2mg at night everyday; estrogen patches everyday; lupron 10 unites injections for 27 days. Went in for regular blood work and ultrasounds, they didn't change anything up really. I think most of my protocol was based off blood work and how my body was reacting. First test I was pregnant with my hcg at 112.6, went back for follow up and I had a chemical pregnancy, my hcg dropped to 18. They suggested doing an ERA (mock transfer) before my next round, we were anxious and decided to pass and start with another transfer. Treatment strategies /protocols for IVF #2 - z-pack; folgard 2.2mg everyday; hCG 2x before transfer, 2x after transfer; Omnitrope 0.5cc for 10 days; 75mg progesterone shots; medrol 4 pills for 4 days before the transfer; Estrace 2mg morning and 2mg at night everyday; estrogen patches everyday; lupron 10 units injections for 23 days and had intralipid infusion. Biggest difference was no baby aspirin this round; but added folgard, z-pack, intralipid infusion and Omnitrope. This round resulted in a negative pregnancy with my hcg levels at 9.23. Again, was suggested doing an ERA - so we did an ERA. Treatment strategies/protocols ERA - (only taking medications till transfer day) folgard 2.2mg everyday; hCG 1x before transfer day; medrol 4 pills 4 days before transfer day; 75 mg progesterone; estrace 2mg in the morning and 2 mg at night; delestrogen shot 0.25ml every 4 days; and lupron 10 units injections for 24 days. This resulted in my ERA coming back as pre-receptive by 12 hours.

With insurance help... Consult was $75; IUIs approx $1,500 Egg retrieval - approx. $5,000 ; medications $5,800 IVF #1 - approx. $4,800; medications $700 IVF #2 - approx. $600; medications $1,500; intralipid infusion $300; ERA - $600; medications $660

I trust my doctors opinion and what is best for my body and my circumstances through all the testing he has done.

Although Dr. O'Shaughnessy was direct, she also provided no context or analysis of my ultra sounds or blood work. She provided no explanation of anything. It was clear that there was a set protocol, which included jumping into medicated cycles and then moving onto IVF immediately if those did not work. Dr. O'Shaughnessy presents herself as the expert, which she is, but it would be helpful of she explained anything to her patients. The only benefit I got from seeing Dr. O'Shaughnessy was my PCOS diagnoses. After two failed clomid/letrozole cycles, I decided I could figure out my body on my own, which I did. I got pregnant naturally after a year or so or hard work on my diet, exercise, and overall lifestyle. Do yourself a favor, and skip Conceptions and work with a naturopath or dietician that will provide strategies to improve your PCOS symptoms, thereby maximizing your fertility. I understand the goal of a RE is to get you pregnant, but at what cost?

Do not see Dr. O'Shaughnessy, especially if you have PCOS.

Monitored clomid/letrozole cycles.

$5k for ultasounds, bloodwork, and failed medicated cycles.

Dr. Chiang went over everything and addresses our questions and concerns in a term we could understand. She gave us a course of action and options. We have just been doing tests and more tests and been waiting for answers so to finally see someone who set the course of action was so comforting. She talked to us like she genuinely cared for our family and wanted to help us.

Ask all the questions you want and need to!

She set a course of action for us. We are going to do all of the genetic testing and referred us to a Urologist to see if sperm extraction was possible. Then we are doing Donor consults and counseling to see what are our options would be to use that as a backup. They did an ultrasound to count my follicles. Everything was very detailed.

The costs for me were covered by insurance. The cost for genetic testing was $100 for my husband.

Dr. Grindler has a very analytic and scientific way of talking through the information presented. She did a great job of walking through the all of our options. However, we felt concerned when the pharmacists we shopped around with kept exclaiming how much Menopur we were prescribed. It would have been nice for these dosages to be explained (due to low ovarian reserve), as we had to follow-up to confirm it was the correct dosage. I think overall the experience we had with Dr. Grindler was probably typical of any large fertility clinic that is just getting people through rounds of IVF. What we weren't fully aware of at the time was that were in a fragile state and were looking for more empathy and explanations of potential upcoming loss/failure/stages of grief.

Be prepared for every appointment with questions, especially on the rates of success for the various treatment options. You may want to pair Dr. Grindler's medical advice with additional emotional support.

$11,000 for one round of egg retrieval (not including cost of medications)

Conceptions clinic as a whole believes in elective single embryo transfer, but will transfer multiple embryos if you feel strongly

Dr O’shaughnessy was ok. She was blunt to the point. Personally for me it’s just annoying I came to her for care, we did a ton of testing. She said everything is normal when it came to my test results. Our only option was IVF. (Give or take a $20,000 procedure.) My partner and I decided at that point to continue the natural course until November when we can look at our insurance plans and reevaluate if IVF coverage is an option. Of course, we did get pregnant again and ultimately lost said pregnancy. (Not getting into the condescending responses I received from the nurses.) At my “Required” follow-up visit after the D&C, O’shaughnessy let us know one test result did in fact come back as indeterminate and we should retest…. (Give or take a $150 test) Why wasn’t that previously brought up? Why did I have to go through yet another loss for my test results to be taken seriously?

Look at the culture you and your staff show to the patients. Is that a culture you as a patient would be satisfied with?

I only had testing done. Testing was 100% covered by insurance

I began the first consultation appointment with Dr. O'Shaughnessy feeling a little on-edge and defensive when our conversation started with whether I'd arranged to have my previous medical records transferred. Dr. "O" seemed annoyed that the records were not there, and I felt like I had done something wrong even though I'd tried to have them sent. As the conversation went on, I realized that this was simply Dr. O'Shaughnessy's direct and to-the-point way of communicating. When I began to get used to this, I truly appreciated her honesty and clarity, even if it wasn't as warm, at first, as I may have been expecting. It is clear that Dr. O cares for her patients, is extremely knowledgeable, and believes in my success. I feel like I am in good hands starting an IVF cycle with her.

Be ready for information that is direct and to-the-point. No sugar-coating here.

We have not yet started our first treatment with Dr. O'Shaughnessy, but the planned protocols have been explained based on our testing. I will start with 16-21 days of birth control pills to suppress my reproductive system. Then, I will begin injections daily or twice daily with daily blood tests and ultrasounds for 10-12 days leading up to the retrieval. I believe that one reason for this protocol is that I have normal ovarian reserve. I had begun to take the birth control pills right before the COVID19 pandemic shut everything down. I stopped the pill and am still waiting to start again and move forward with an IVF cycle.

One IVF cycle is $18,375 plus the cost of medications.

While I am ultimately uncertain what is best, I am curious about why this clinic only allows single embryo transfer.

De Bush is really profesional and knowledge , he will take the time to explain everything to you . He also will tell you the truth in your face he will not create false expectations . He will take the time to treat you as an individual and review the right treatment for you to end up with a baby in your arms . We are going with him and we are hopeful that we will have a baby at the end .

Take the time to research to ask the right questions , make a list ... have him give you the best treatment that he suggest .

He did check me every day with blood work and ultrasound así I won’t be on risk of OHSS . He will look all the details and try to give you the correct answer .

Dr Bush was a great person when he decided to give me a discount for my treatment and he did manage this personally with me and a great nurse Sarah Lee , they were really nice to me when it comes to price for the treatment .

I did want to do a transfer on me but doctor bush will research about my situation first and we will discuss the best treatment for me . Also I would like to transfer 2 embryos but he only do 1 at the time .

Dr O is an amazing person and doctor. I truly enjoyed being under her care. I came from a different fertility clinic, after my doctor had moved away. I was looking for a doctor what was approachable, experienced, and friendly all around. I found her to be all of those things. I was very appreciative of the fact that she doesn’t waste time or give unrealistic expectations. I suppose this could come off more abrasive to others, but I felt like she was looking out for my best interests and trying to achieve the desired outcome from my family. She let me have a say in my care and was open to my preferences. I ended up having surgery for endo polyps and she was the one who did my surgery. It was comforting to see her at my surgery, and gave me peace knowing that she would perform the surgery in an effort to make my uterus perfect for a pregnancy. I also ovulates through my Lupron during my transfer cycle. I was, of course, real panicky. But she simply made some adjustments and pushed the transfer out a week or two. Her ability to handle this setback made it less stressful. I also think she treats the office staff very well. It always seemed like she was talking with them and everyone was happy. which says a lot about the doctor as a person- in my opinion. And to top it off, we now have our sweet baby boy!

Don’t be afraid to ask questions!

I was prepped for an embryo transfer cycle, as I had embryos prior to come to this clinic. My testing included a trial transfer, Dopplers, and SHG. Because of the findings, I needed to have a polypectomy. This was a surgery scheduled at the hospital. It only took about 30 minutes and I went home same day. I did not even need pain meds! I then did my embryo transfer- we used lupron, estradiol patches and pills and progesterone in oil.

We used our progyny insurance, so the cost to us was very low

I desired a eSET and she was completely agreeable to this.

We have not started IVF due to the pandemic however we met with her in person once and once again via telemedicine for our results since we are out of town. She answered all my questions and even responded to emails when I thought of questions later on. We both felt like we can ask any clarification questions and she would take the time to explain things.

Do your research and come in with questions, if it's your first time considering IVF or IUI don't hesitate to ask questions or clarifications. If you know the process well it will help you make decisions later on.

We have not started any protocols or drugs due to postponing IVF due to pandemic.

We knew our insurance wouldn't cover any cost of fertility treatment so they have pricing different for out of pocket patients compared to insurance billing. I believe for the original consultation it was between $130-200. I remember at our consultation we wanted to start the preconception blood work so we would know where we would stand in terms of available options. The preconception blood work for both my husband and I included STDs, Ab testing and transvaginal US. We paid between $1200-$1700 not including genetic chromosomal analysis. They are transparent on their website about costs associated with different treatment, however we are waiting to begin our IVF so we will see what the actual costs turn out to be.

The doctor was professional but very cold and did not clearly explain "our problem" to us. I was constantly trying to figure out what was "wrong" with me and looking up information on the internet to fill in the gaps. I was 5 days late for my period once and was trying to figure out what that meant because pregnancy tests were negative. I could not talk to the doctor about this, only the nurse, who said "you could be pregnant or your period is late". Turns out I was late due to the progesterone, none of which was explained to me as a possible side effect, I googled this possibility on the internet. Also I had some drainage in my tubes shown during the HSG. I did not know what this meant and no one explained it to me despite asking multiple times. I was always skeptical about the IUIs and whether they would work due to damage in my tubes. They didn't work. The doctor never explained to me that my damaged tubes could be the problem. I had to google what this meant including what AMH, FSH, etc meant. At our final consultation, the doctor couldn't tell us why the IUIs didn't work and pushed us towards IVF. She could not tell us what our odds were in it being successful other than the clinic statistics. This was not individualized for us. We were just a number and got a $150 bill for a 15 minute final conversation that told us nothing other than the fact that we now needed to spend more money to try to get pregnant.

To ask for another doctor. She is not very warm. She does not explain the statistics. She does not help you understand the problem. She does not answer questions. She is not present other than your initial consultation and your final consultation. You are just a number that pays her money.

First IUI, I was given clomid. I had horrible side effects like cramping and was in bed the whole day. My lining was borderline for going through with a cycle and only one follicle matured. I ovulate naturally so likely the clomid did nothing. Even with that, I was given clomid once again for my second IUI. Cramping was worse this time. My lining was worse. I was given estradiol to thicken my lining, who knows if it worked but the IUI didn't. Only one follicle again matured. Third and final IUI I was switched to letrozole. I had no side effects and felt great. My lining was great. I had two follicles mature. Still the IUI failed, but the fact that she didn't immediately switch me to letrozole after the first IUI is concerning.

For each IUI, medications, appointments, and the procedure cost about $1,000 each. There were preceding appointments that cost a couple hundred and the followup with her which cost $150. Medications were probably about $100 each. In total, we spent $4,000-5,000.

No, I didn't do IVF.

Mark Bush was arrogant and patronizing. He rarely allowed me to finish a thought, almost always cutting me off before I could finish what I was saying. He was quick to place a label on my infertility diagnosis without looking at all the labwork and results, and then later changed his diagnosis when he looked just a bit more thoroughly at my labwork. He spent a lot of time talking about his successful IVF statistics and pushing IVF at us when we were not feeling ready to take that step, wanting to being with a couple rounds of IUI.

His IVF success statistics are good, so I'm sure he is a smart and competent doctor. But his bedside manner, compassion, and attention to details were abysmal. Ultimately, I decided that in this difficult and stressful journey, I wanted a doctor who listened to me, treated me like a human, and didn't patronize me.

Hands down, the most insane moment we had with Dr. O'Shaughnessy was when she flat out refused to answer my question of "if this transfer doesn't work, what is the next course of action?" I asked three times and by the third, it got awkward and I finally let it go. Her answers were all along the line of "don't worry, it will work!" Well, it didn't and not only were we devastated, we didn't know what was next. Another time, I mentioned to her that a procedure I had just had was terribly painful and maybe they should look at options to make patients more comfortable. Her response was that there was nothing they could do. Upon switching physicians at the same clinic, I learned there was a LOT they could do to make it a more pleasant experience and, frankly, it was for me when I had to have the procedure again. We only met with her twice during the entire treatment plan. Both times, we found ourselves apologizing for taking up her time as she seemed annoyed that we were in her office. Only after did we realized how messed up that is! Lastly, I've read feedback that she is condescending to her patients and I would 100% agree with that. She made condescending remarks to my husband and myself after we had asked her to clarify dosing protocols since she wasn't making any sense.

Don't be a patient of hers! This process is too expensive, stressful and demanding to be seen by a bad doctor.

Dr. O recommended a single transfer for me based on my size and that it was our first transfer. There was no reason to doubt this course of action and we were in full support/alignment.

Dr. O is wonderful with providing the hard facts but still making you feel like she cares. She has been so patient with my husband and I and the long list of questions we've had at every visit. At times when I've been upset, she has shown compassion. And at times when we've needed it, she hasn't sugar coated the details. I've always felt like I was in expert hands at each visit. And at every visit, she always makes sure I have her contact information and take a business card, just in case we have more questions or need anything. Are there maybe more personable Doctors out there, I'm sure there are. But she is a great balance and I respect that about her and would recommend her to anyone.

Don't expect bubbly, sugar coated. Expect the facts, expect to be told the truth, and know that there will still be compassion when necessary. Ask any and all questions that come to mind, she will answer them thoroughly.

I am just at the beginning of our protocol (stims starts this week), but was told that we are approaching my protocol strong due to my age and endometriosis. I am on an Antagonist protocol which unfortunately, i don't understand but intend to ask my nurse tomorrow. Since being told this is our protocol, I have not seen Dr. O so I haven't not had the opportunity to understand the rationale, nor do i know the potential results.

Thus far, we are expecting a total of just over $18,000 for our Conceptions care, plus medication.

Dr. O has communicated that due to my age, she only recommends single embryo transfer due to the impending risks of multiples. She explained the potential risks of 2 babies as well as the extreme risk of transferring 2 embryos and should those embryos split. My husband and I trust her opinion and expertise and will absolutely follow her recommendations.

I would have liked to see her more before and during my treatment just to have her check in with me and reassure me on any of my hesitations or concerns. I spoke directly with the nurses who were the middlemen for any questions I had.

You should expect to be someone who has a basic knowledge of the egg freezing process as she does not give an introductory overview of how your body functions and what the full process is like. Expect to be the one who initiates the questions to fully understand everything.

I am currently in my second round of egg freezing and the doctor recommended I do a short stint of estrogen before my cycle started. She wanted to try a new approach to get me to produce more eggs. It seems to be working so far as I am producing more eggs this round than my first round.

I only compared the costs of Conceptions with one other clinic and Conceptions was less expensive. They also offered me a discount with my second round of egg freezing, and ordered my drugs from a different pharmacy that was providing the lowest costs.

My doctor stressed to me the importance of doing a single embryo transfer as opposed to a multiple embryo transfer. I asked if it was still possible to do a multiple embryo transfer, and she responded that they really only encourage a single embryo transfer. When and if the time comes for me to do an embryo transfer, I believe I will request a multiple embryo transfer.

Dr. Greene is energetic, knowledgeable and supportive. He tells silly jokes and creates a more relaxed space even when there is tension. I appreciated that he responds directly to emails. Unfortunately after two frozen embryo transfers, we have not received the outcome we were hoping for under our care with Dr. Greene. I do not believe that. Dr. Greene is at fault for either loses.

Come with all of your questions!

Before each transfer I had pylops removed by Dr. Greene. Frozen Embryo transfers with Lupron, HCG, estrodial, progesterone in oil. In my most recent FET I was put on Metformin.

We paid about $4000 for each Frozen Embryo Transfer. We separately paid for acupuncture.

I cannot express enough how different Conceptions was different to every other fertility doctor I have gone to. I have long been diagnosed as having PCOS. The doctors at other Denver infertility offices (like CCRM) stated my infertility issues were caused by weight and refused to administer any IVF medication. ( I weighed 177 lbs.) Dr. Bush did not bring up my weight ONCE during my journey with him. He treated me like a human with a legitimate medical issue causing infertility. He started me on the IVF process immediately after initial testing. After FIVE years of trying to get other infertility offices to help me I got pregnant after my first run of IVF with Dr. Bush. My baby is due in August of this year and I will always be grateful to Dr. Bush and the entire Conceptions staff.

Trust Dr. Bush and his staff. Don't be afraid to ask questions. Be patient. IVF can be a long process.

Dr Bush went straight to IVF which was refreshing because other Denver infertility offices (Albrecht Women's Care). Made me do three IUI attempts and refused to do IVF on me which was a huge waste of money. Dr Bush did more detailed testing of my hormone levels than any other infertility Dr did. I have PCOS so weekly testing of my hormone levels was necessary which no other Dr's did. I never made near enough Progesterone on my own, even after becoming pregnant, so Dr Bush had me take Progesterone injections until my fourth month of pregnancy when the placenta finally starting making enough Progesterone to keep the pregnancy. I'm confident that with any other Dr I would have lost the pregnancy.

The ultrasound technician at the Sky Ridge location was one of my favorite people to visit during the process. She was so sweet and knowledgeable. The ultrasounds were quick and painless. I even got to do my first pregnancy ultrasound at their offices. Their ultrasound machines were top of the line and showed amazing detail.

The billing department was very good about working with my insurance and making sure I was fully aware of any co-pays before they were due.

My insurance would only pay for IVF if I did a single transfer so I never had to have the multiples conversation with Dr Bush.

Dr. O is very smart and that is apparent in the initial meeting with her. She has a lot of experience in her field. My husband and I appreciate this aspect of her and that she gives you information bluntly and will answer all your questions. The reason for my negative ranking is as follows: She is very opinionated, knows what she is thinks is best and wants to stick to that plan only. Some examples of scenarios where we disagreed and we were met with opposition are the following. 1. We denied karyotype genetic testing during our initial testing because as believers in Jesus we would not change our plans to try to conceive naturally or transfer an embryo based on a positive result of having a higher chance of having a child with multiple sclerosis, cystic fibrosis, or other perceived "genetic abnormalities" (Dr. O was very aggressive in pushing back and challenging this decision and that there are options to test embryos so that we wouldn't have a child with CF - which entails testing an embryo and then throwing it away if it is positive with one of the "genetic abnormalities" 2. Similar to #1 we do not want to do PGS testing in a potential IVF round for similar reasons that relate to our strong beliefs about the value of life and Dr. O's views on this are very apparent from the beginning (She wants to create and transfer ONE genetically perfect embryo for highest chances of success) 3. She is very strict about only doing a frozen transfer and only transferring one embryo at a time (we would prefer to transfer 2 embryos at a time due to the desire to not do PGS testing and we do understand that there is a high likelihood that 50% of embryos will be abnormal and either miscarry or not implant altogether but we are committed to transferring all potential embryos at some point in our life). I mainly feel that my personal faith based beliefs are not respected by Dr. O. I do understand she has gone through a lot of education and is aware of all the statistics and best practices but as Christians I care about more than just the "best practice" and want to move forward in a way that honors what I know is true about the value and gift of life. I don't mind that she presents all the facts but I do wish we were treated differently with regards to our views. For all these reasons, I would caution my best friend of going to Dr. O due to her aggressive, and sometimes hostile nature, regarding anything that does not align with the "medical best practices" of genetic testing and selective embryo transfers. As previously mentioned, there was some confusion around if I was truly diagnosed with PCOS or not and I dot not understand why she wasn't blunt about this from the beginning like she is with all of her other information that she delivers.

Be prepared with a list of questions to ask her and be well researched. She really appreciated that I knew the language and had done preliminary research on testing and treatments. When she walks you through an IUI or IVF process she talks quickly and matter of factually so you could get lost in all the details if you haven't at least read about it or discussed it with someone before. Also you can be blunt back to her and hold your ground if you have strong opinion or convictions about any part of this process. I strongly recommend researching the moral and ethical implications that accompany certain fertility treatments so that you know what you are agreeing to.

My husband's SA came back with low morphology at 1% (everything else was great!) and he started using Theralogix's conception XR as prescribed. Dr. O recommended using Letrozole instead of Clomid for medicated IUIs because I have a high resting follicle count (later officially diagnosed as PCOS) and they believed I would easily hyper stimulate. IUI Cycle #1: 5 mg of Letrozole (or Femara), CD 12 sonogram - L ovary: 18 mm R ovary: 18 mm, triggered at 9:30 pm, IUI 36 hours later on CD 14, sperm (post wash): 34.7 million, motility 89%, prometrium CD 16 through pregnancy test 14 days post IUI. Negative pregnancy test. IUI Cycle #2: 5 mg of Letrozole (or Femara) CD 12 sonogram - L ovary: 16 mm, 15 mm. 12 mm R ovary: 22 mm, triggered at 9:30 pm, IUI 36 hours later on CD 14, sperm (post wash): 18.4 million, motility 88%, prometrium CD 16 through pregnancy test 14 days post IUI. Negative pregnancy test. IUI Cycle #3: 5 mg of Letrozole (or Femara) CD 11 sonogram - L ovary: 17 mm, 12 mm R ovary: 19 mm, 15mm and 13 mm triggered at 9:30 pm on CD12, IUI 36 hours later on CD 14, sperm (post wash): 25.8 million, motility 92%, prometrium CD 16 through pregnancy test 14 days post IUI. Negative pregnancy test.

Initial fertility testing (with some insurance coverage): $1,100 Each IUI cycle: CD1-3 ultrasound and bloodwork (out of pocket): $402.16 Letrozole: $10 (with Good RX coupon) CD12 ultrasound (out of pocket): $167.20 Trigger shot: $92 (Mandell's specialty pharmacy) IUI (out of pocket): $353.76 Prometrium: $30ish (With Good RX coupon)

I have not decided yet if we will move forward with IVF at this clinic or at all, however, see previous comments regarding initial discussions regarding genetic testing and selective embryos.

Doctor Greene was amazing. He was always willing to cover treatment options and plans in as much detail as we wanted. He also provided material on extra supplements and research that has been show to help with fertility. He never had me do something in my treatment without providing an explanation about why I was doing it.

Come prepared with questions and feel free to ask them.

I had 2 rounds of treatment, after the first round we discovered an egg health issue that we did not know about previous to having embryos PGS tested. The first round did not include any extra medications, They retrieved 18 eggs, 13 were mature, 12 were fertilized. Only 3 made it to day 5 (previously unknown egg quality issue) and 3 were sent for PGS testing, 1 was deemed "normal" Grade AB. The second round of IVF protocol was similar with the addition of Omnitrope. They retrieved 13 eggs, 9 were mature, 8 were fertilized, 4 made it to day 5 and were frozen and sent for PGS testing, 3 came back "normal".

We have insurance coverage and paid around $20,000 for all testing and procedures.

The clinic recommends eSET because of all of the testing done on the embryo and uterus before hand the live birth rate is very high and the goal is for a healthy baby and a single embryo transfer has a higher chance of a healthy live birth. But they have it as an open topic of discussion.

Dr. Grindler is a very compassionate person. While I am not infertile, I have a rare medical condition that could be exacerbated by pregnancy and possibly result in major surgery post pregnancy. I was turned away from a clinic since I was not infertile. Dr. Grindler treated me no different and explained that her goal is to help every family that wants a baby to have one. She was very clear when outlining the process and made herself available if we had any questions. As of now, she has helped us to create 7 exceptional frozen embryos. Her plan for the egg donor - amounts of medications, timing, etc -was phenomenal, resulting in 7 frozen genetically exceptional embryos. We couldn't be more thrilled!! Our gestational carrier will soon be starting medications for the FET, and we can't wait!

Don't hesitate to ask any questions. She is more than happy to answer!

We don't know the exact treatment strategies as of now since she has only worked with our anonymous egg donor. Thus, we were not informed of any of the specifics of the treatment.

$38,000 included egg retrieval, their own anonymous egg donor fee, IVF, and FET.

I only met with the doctor during my initial consultation and then during my re-group after the canceled cycle. Every other appointment and call was with a nurse. Several times, I asked to speak with the doctor about her instructions, and instead received communications back from the nurse who said she had spoken with the doctor. Dr. O put me on a priming protocol that was questionable for someone with DOR (estrogen and birth control). I only had 2 follices during my AFC, and was put on a maximum (very expensive) dose of medications (450 follistim/150 menopur/.7 cc omnitrope). Even though I started with only 2 follicles, my cycle was canceled 5 days later due to not growing more than 2. This did not make sense to me, and wasted thousands of dollars on medications. After my canceled cycle, Dr. O basically did not have any alternative protocols to try, and wanted me to go directly to donor egg. I have since received second opinions that this suggestion makes no sense, given my relatively young age and the fact that someone with DOR should not be expected to produce a lot of eggs in the first place.

If you are in Denver, it is worth spending a bit more money to go to CCRM.

Primed with estrace for 7 days , starting 7 DPO. Birth control pill for 5 days to delay start of stimulation medications. 450 iu follistim, 150 iu menopur, and .7 cc omnitrop for 4 days; increased to 300 iu menopur on 5th day. Canceled after that.

Initial consult: $325 IVF coordination of care: $986 IVF with ICSI and PGS testing, including 1 FET: $17,354 (most of this was refunded due to canceled cycle) PGS for greater than 8 embryos: $250/extra embryo (did not actually incur this) Anesthesia: $400 (did not actually incur this) Mock transfer/hysteroscopy/doppler: $870 (did not actually incur this) Subsequent transfer: $5,100 (did not actually incur this) Additional rounds of IVF: $9,895 (including ICSI & PGS, but not transfer) (did not actually incur this) Drugs (paid to MDR pharmacy): $6,378.76 (this did not include all drugs, but cylce was canceled before ordering all) Cycle cancellation fee: $3,350 (did not actually incur this; instead, paid $1,475 for services rendered)

I had a very bad experience with Dr. O'Shaughnessy. I came to the clinic and opted to go to the Rose office for a quicker visit to see the doctor versus waiting for the clinic closer to me and another doctor. On our first visit, we were explained that we would have a lot of testing and come back to regroup with her. We had ultrasound, labs and a semen analysis. When we met with her to regroup, we were told "everything looks fine" and that my resting follicle count was over 20. Come to find out from seeing another doctor, all of this information was false, there was in fact something very wrong and my resting follicle wound was 7, not over 20. We did two IUI's with Dr. O'Shaughnessy and should have never even attempted this due to my lab results showing I have premature ovarian failure. I feel as though we were treated as a number, she was not compassionate and didn't care about her patients. I came in to my second followup after a miscarriage after an IUI and was absolutely hysterical and she just stared at me and got very angry when I asked for an ultrasound. It was overall a horrible experience and I do not recommend this doctor to anyone.

Don't see her unless you enjoy being treated poorly and essentially laughed at. There was no compassion when I was upset over a pregnancy loss, no explanation or further attempt, I felt as though she was simply after my money. Go see another doctor in her practice.

Two IUI's, one with Letrozole which resulted in a chemical pregnancy and another IUI with follistim which was negative.

I had no contact with billing office at the Rose location.

No.

Dr Greene was very familiar with my case right when I walked in- I could tell he had read it before I arrived and that was reassuring. He asked a lot of questions and gave us several options and helped us understand everything thoroughly before we parted. We never felt rushed and he answered any questions that arose after our meeting very promptly

Ask a lot of questions- he explains things well but he also doesn't mind answering anything you think of

we used 50 mg of Clomid for the first 4 IUIs and an ovulation predictor kit. For our last IUI we used a trigger shot and ultrasound to be more accurate. I was also taking herbal supplements that he recommended and prenatals to help egg health

IUIs and testing were less expensive than my own doctors- IUIs were $350ish. IVF all in would be 25-35k per round

He definitely leaned towards eSET because of their success rates and explained that unless we desperately wanted twins he would discourage multiple embryo transfers

Dr. Bush is thorough and allows you time to ask all your questions that arise. When we decided to start with IUI I left the office with a clear understanding of the plan. So far our appointments with Dr.Bush have been straightforward.

Come prepared with questions. Just like at any other doctors office, Dr.Bush is happy to explain things but he obviously doesn’t have a lot of time to just sit there and wait. However if you come with your questions written down and are prepared they will get answered.

We husband and I are in the middle of our second IUI cycle. Dr. Bush prescribed 5 mg of Letrozole daily cycle day 3 through 7. For our first cycle I went in to the clinic cycle day 13 for a pelvic ultrasound. Once confirmed I had a dominant follicle they gave me a trigger shot. Then the IUI was performed on cycle day 14 by the nurse. This cycle they are having me go in on cycle day 12 for the ultrasound and will determine what day the IUI is on after measuring the follicles for enough growth.

I do not remember total costs of the top of my head. However, we have spent over $1,000 in testing to try to determine the cause of our infertility. I have not received the bills for our IUI yet therefore I don’t know the costs. I did pay about $350 for the progesterone and estradiol prescribed for inbetween the IUI and pregnancy test.

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