Delaware Institute for Reproductive Medicine (Boston IVF Network clinic)

She’s incredible! I’ve been to two clinics with three different doctors and couldn’t imagine leaving Dr. Bachman at any point. She speaks to you as a person rather than a patient, celebrated with us on victories (even the small ones) and empathized with us when things doesn’t go as planned. She called us on her vacation to check in when we received difficult news and was there every step of the way for our transfer process. Dr. Bachman is a feelings girlie - she hugs, laughs, smiles, hopes, tears up a little - and I’m here for it all.

Choose her - she will do everything and anything she can to make your dreams a reality.

Retrieval: 6 embryos; 1 genetically normal - gonal f - Lupron - prenatal, coQ10, DHA, vitamin D Transfer: 1 embryo; currently 7.4 weeks pregnant - estrace 3x daily - PIO - prenatal, choline, DHA, vitamin D -

We used insurance coverage with Dr. Bachman so I’m not sure of total costs. I do know that it was less expensive than previous clinic.

Clinic believes in single transfers, but I believe sometimes allows for multiple. I only had one embryo so this was not a conversation we had.

Although quiet he answers questions thoroughly and allows time for discussion and decision making. He does not present bias or judgment and makes you feel at ease with the process. He sets realistic expectations and follow-up always was scheduled quickly. He includes both you and your partner in the visit to ensure everyone understands the process.

Come prepared with all of your questions he is ready to answer them!

Our first cycle we tried naturally with just monitoring for ovulation, when that was unsuccessful we moved on to a cycle of natural insemination with letrazole to ensure ovulation. That was also unsuccessful and we tried a cycle with letrazole and iui. We were unsuccessful with iui due to male factor infertility and are currently moving on to ivf with Dr. kovalevsky. After each cycle we would regroup and plan for the next best option.

I incurred some out of pocket expenses for medications, co-pays, and procedures. I did have insurance coverage which we have no exhausted on treatments so paying out of pocket is taking a toll on us now.

We discussed my personal situation and he felt the risk of multiple transfer outweighs the risk of not having an embryo implant. Given insurance coverage for us is limited we were hoping for two to be transferred to help out odds.

Dr. Russell and his staff always made you feel so welcomed and understood. They never judged or questioned me on my fear of infertility. No question was stupid. They treated me as family and helped me with all my questions and fears. You never left wondering about anything. And if you did all you have to do is shoot them a message and you always got a response. You never go unnoticed for how many patients they see a day.

If you’re hesitating to start appointments.. don’t! Go in open minded and ask anything that is on your mind. I promise you’ll get all your answers!

When I called and made my first appointment no matter what other doctors said or did Dr. Russell made sure he started from the beginning and did everything step by step. If he didn’t like one thing he would have me in there the next day for the next step on his list.

I have not spent more then $600 for appointment everyday. Honestly I would pay anything to have a good doctor!

After finding out that my only tube was blocked, he gave us the option of surgery, which he said may not help and then we would have to do IVF, or we could just go straight to the IVF. We choose to do IVF and hold off on the surgery. My levels were always good but because I only had one ovary they were only able to retrieve 3 eggs each stimulation cycle. On the first cycle no eggs made it to the day 5 embryo stage. We did another cycle and we got 2 out of 3 eggs that made it to the embryo stage. We had them tested they were both genetically Normal and good embryos. We transferred one and it didn’t take. We did biopsy’s to see what was wrong and found I had a bacteria and there was too much progesterone. They lowered the amount and tested for the bacteria again. Bacteria is gone but still too much progesterone. He wants to go on with a transfer of our last embryo. I’m very nervous but I put trust in his knowledge. He has always been straight forward with us and told us exactly what we needed to know. He is trying to help us create our family and I couldn’t be more thankful.

He is very direct. If you aren’t a fan of that, he isn’t for you. Personally I think it is wonderful. I need direct information to understand what is going on.

During the stimulation process: pills, 2 injectables and a trigger shot. During transfers: progesterone injectable, estrogen pill, prenatal

Since our insurance maxed out on the amount of coverage for meds we had to pay around 10,000 dollars for the medicines. Then for the transfers we payed an extra 500 for those medicine.

In the beginning we felt like he honestly cared, but as money ran out that changed. After our first miscarriage they acted like they had it all figured out of we would just try one more time. 4 more times came, another miscarriage came, and then they admit they have absolutely no answers. We are left heartbroken and in debt up to our eyeballs.

If you do not fit in his "cookie cutter" protocol you will not have success. Research doctors based on your specific issues and find someone with experience and success in those areas. DIRM considered both my losses as "success". I look at an empty crib and say how is that success??

We used menopur, gonal F, cetrotide, and possibly more. I cannot remember dosages. Between both egg retrievals 68 follicles were retrieved, but only 3 made it to blast and only 1 implanted and was normal. I did not use an HCG trigger shot (used another kind) due to risk of OHSS. Very poor protocol for us and he never changed it after the first round of poor results.

$10,000 for donor embryos (4) plus all medications. $19,000+ for each IVF (x2) plus copays and deductible for health insurance

He did not want to transfer more than 1 embryo the first time. After the first failed he agreed to transfer two. I was 26 and never been pregnant prior.

Doctor Russell was to the point, and factual which I appreciated. He later everything out on the table and where to go from there.He made me feel at ease and confident in him and his plans. During a stressful time (being diagnosed with pcos and infertility) he made us feel so positive, optimistic and like we could handle anything. He always made sure we understood everything and get a say in our care as well, which we really appreciated as we already felt in loss of control.

Have confidence in him & his team!

Once doctor Russell completed my sono hsg, hysteroscopy, and following me through a cycle he put me on clomid and hcg trigger! Followed me pretty much twice a week to predict and confirm ovulation, and much more.

$30 copay for each visit, my medications: clomid like $5, hcg like $70, progesterone suppositories like $30, my husband had $500 lab bill

He is the best in the state. Up to date with the latest science and technologies. Has a calm and friendly approach. Tells you like it is without judgment or scorn. Helps you to understand everything including each step, the science behind it, and expectations.

You are in great hands. He’s the best in the area and knows what he’s doing. Make sure to do your research at home and have questions prepared.

We used an antagonist protocol - follistim, ganirelix, and microdose hcg, and then progesterone suppositories for retrieval. Our trigger was pregnyl. We got 10 eggs, all mature. 5 made it to blastocyst stage, 3 PGS tested normal. FET progesterone suppositories and IM injections, medrol, and an antibiotic. Resulted in positive pregnancy, but miscarried at 4.5 weeks. Diagnostics showed high NK cell count and endometritis.

Egg retrieval for one cycle was $9000. Meds were about $3600. Each transfer is $3000.

We only wanted to transfer one, but he also recommended just one based on my age and good health, great embryo quality, and in case it didn’t work we could tweak it next transfer.

He is always positive about how situation and takes everything one step at a time. He keeps me grounded and makes the new essay adjustments to my treatment. He explains things very well. His diagnostic work up is very comprehensive and during my work up discovered I have a pituitary adenoma

He’s awesome!

We first started the diagnostic work up for both my husband and myself. Discovered that my husband has male factor problems and he was started on vitamins and given examples of food to eat to help make the quality of his sperm better. After my work up, I was started on 2 medications that I will take until he says stop. Both medicines help with hormones issues caused by my tumor. He monitors everything very closely and makes the nescessary adjustments to my treatment so we can have the best outcomes possible.

My experience with monitoring appointments was made super easy. The bloodwork requested was always explained to me and everything that showed on my ultrasound was explained to me. No matter how many questions I had, Celina took the time to explain every little detail. She should seriously write a book to help women through this process. The amount of knowledge she has is amazing.

The IUI cost $2,500 not including medications. The first IVF cycle as of now is $12,00. We haven’t done the transfer yet and that is an additional $3,000 not including medications

My doctor only does single embryo transfers.

Well versed physician, however, my case encountered challenges from the start of the cycle. I wasn't offered many solutions outside of surgery and Dr. Russell didn't seem interested in exploring other options.

I would advise to go to Dr. Russell only if you're ok with not having much say in regards to your treatment and treatment options

I started an IVF cycle and suddenly developed a tubal blockage that wasn't seen on scans prior to starting injections. On day three the cycle was cancelled and I was advised to have surgery. There were no other options provided to me outside of surgery in order to move forward with the IVF.

9,000 for the cycle and 5,000 for the medications

This doctor seems to only do frozen single embryo transfers

While he isn't the warmest and fuzziest doctor I have ever had, he is straight and to the point. He is very honest and does alter your protocol depending on how you are responding. I feel as though he really does want the best for his patients and isn't worried about his statistical numbers.

He has a very dry sense of humor and is fairly direct, don't let that put you off. If you do as you should and follow his protocols, he will pull out all the stops to try and get you pregnant.

I don't know all the particulars off hand.

The biggest cost out of pocket is cryopreservation.

They favor one embryo transfer, but my husband and I have always elected to do a two embryo transfer. This has resulted in the birth of my son.

At first, when I switched to Dr. Russell, I was concerned because I had heard stories about his bedside manner. I was pleasantly surprised. All the staff are friendly and understanding. Dr. Russell is willing to meet with you at the drop of a dime if you have questions. We have adjusted my treatment several times, and although I am currently taking a break, I cannot wait to go back.

Go in with an open mind. Don't listen to anything you heard from others. Dr. Russell is amazing.

Clomid, with increases when I was not responding due to better success rates. IUI (4 times). IVF discussions - have not started treatment yet because I cannot afford it currently.

Each IUI, after insurance, costs me around $350.

did not discuss this

I felt like a number at this clinic. I do believe he is successful in treating women but for myself I needed a more personal relationship with my doctor. I didn’t see doctor Russell at most of my visits and met with other staff members who were caring and kind but the relationship with my doctor was important to me.

My advice for prospective patients is to meet with more than one doctor and choose who you’re most comfortable with.

I feel that Dr Russell’s office had comparable prices to other fertility clinics in my area.

Thorough, knowledgeable, caring, honest, trustworthy, dependable, up to date on everything related to infertility, easily accessible, optimistic, realistic. I had nothing short of a great experience as a patient.

Be open with him.

Used clomid and injections for my first retrieval. I think only injections for my second retrieval. Mock transfer cycle with biopsy. ERA. Baby aspirin starting two days after transfer. Medrol started around transfer but I forget when.

Price match clinics in the state and some neighboring states.

Allowed me to transfer two untested embryos after I had a failed single embryo with an untested embryo at the first clinic I went to. He informed me of the trade offs.

I fell that he is very knowledgeable but I think that he could have been more involved in my care. I met with the NP clinician at my visits much more frequently than him. He did make me very comfortable during the treatments that he did perform and fully explained the procedures.

Infertility is a long, hard road to be on. Sometimes we have to readjust our expectations of what we think our outcome might be and what we might encounter on that road but you will eventually reach your goals. I think this office will help you achieve those goals and their patient care is excellent.

I was given Clomid 25mg during all three IUI cycles. The first resulted in a chemical pregnancy and the last two were negative pregnancy test results.

I only needed to pay my specialist copay and for my medications for my procedures.

N/A

He has been practicing for years and knows his stuff. He evaluates your situation as a whole and was sure to figure out why before proceeding with something that would not work just to do it. We was very forthcoming and told you everything you needed to know and gave you all your options.

Make sure you ask all your questions so you are not still pondering later even if you are embarassed.

He wanted to diagnose the problem rather then just jumping into solutions. He wanted to make sure all issues were known before proceeding which was great

Around 11k

I initially thought we would do one transfer and he strongly suggested two. Which worked out just the way we had anticipated

During my first consultation he explain the different tests that were needed for him to do a comprehensive plan of treatment. After each setback, he readjust the course of treatment and explain why. Took his time to explain what he was doing and why. He conducted the transfer and the miscarriage procedure himself.

He is very knowledge intros field.

Sorry I don't remember the exact protocol.

My insurance covered the treatment. I paid out of pocket for all the medications.

He rarely does multiple transfer

Dr Russell was very knowledgeable and was ready for all questions and answers. He was not pushy and gave all options including no treatment at all. Very funny and could even draw and write upside down

Amazing, great bed side manner and great doctor who is compassionate and right down to business

Found 2 out of 3 miscarriages were genetic abnormalities. Suggested IVF or we can continue trying but not sure how many additional miscarriages will occur before we carry a child to term. Currently undergoing tests and then let them know our choice at our next sit down

All costs were covered with a copay except IVF treatment

I can not speak highly enough about Dr. Bachman. She is everything you want in a provider. She is kind, compassionate, and knowledgeable. Dr. Bachman will celebrate the good results and cry with you when things don’t go as planned. She greets you with a hug and makes you feel so comfortable during all procedures. When she calls with negative results you can hear the compassion in her voice. Anytime I have suggested adding or changing my protocol she has always been willing to make adjustments. She is honest about your chances of success and is thorough in reviewing all possible treatment options as well as their risks and benefits. I am so thankful for the care I have received from Dr. Bachman. I recommend her to everyone I talk to looking for an REI. I travel 5 hours to see her and she is so worth the drive!

Infertility is hard. The journey can be long, but you are going to have a great doctor by your side. Come prepared with any questions you have to use your visit time with her to it’s fullest.

My first donor embryo cycle with Dr. Bachman we used the typical FET protocol. We used oral estradiol 2 mg twice a day for 8 days and then increased to three times a day. My labs showed an elevated LH that meant my body my attempt to ovulate. US did not reveal any dominant follicles. Repeat labs showed that LH decreased. We did 5 days of progesterone in oil prior to transfer. The result of this transfer was a negative beta. My next donor embryo transfer we attempted birth control pills and then daily Lupron. The rational was to decrease the chances of ovulating during my FET prep. We did estradiol 2mg three times a day. My US showed a lining of 3.71 mm. We added 1mg of vaginal estradiol daily. My repeat US showed a lining of 5mm. We agreed to cancel the cycle due to a thin lining. We attempted the transfer again but without the Lupron. We did estradiol 2mg three times a day. US showed a lining of 6 mm. We added 1mg of vaginal estradiol daily and lining increased to 8mm. On day of transfer we added Lovenox, baby ASA, and medrol 16 mg daily. The result of this transfer was a chemical pregnancy My third donor embryo transfer we attempted a modified natural cycle due to our previous lack of success. Prior to starting our transfer prep we updated my hysteroscopy and obtained uterine cultures to check for endometritis. All test were normal. We proceeded with letrazole 2.5 mg daily for cycle day 3-7. We did an Ovidrel trigger shot. We added PRP to help thicken my lining and increase its receptivity. We started progesterone in oil 2 days prior to transfer. We added 2mg of estradiol twice a day the day before transfer due to labs revealing an estradiol level of 53. On day of transfer we added daily Lovenox, baby ASA, and prednisone 10 mg twice a day ( this was an increase in steroids since my previous transfers resulted in a chemical pregnancy). The embryo for this transfer was genetically tested. The result of this transfer was a negative beta. My fourth donor embryo transfer we did 2 months of Lupron depot suppression with 5mg of letrazole daily. We did this to treat any potential endometriosis. When we began transfer meds, we started baby ASA and prednisone 10 mg BID at the beginning of meds instead of day of transfer. We did 2mg of estradiol TID. Lining was 5.9. We added 1 mg of vaginal estradiol daily and lining increased to 8.3. We did 5 days of progesterone in oil prior to transfer. We also did PRP and an Intralipid infusion 5 days before transfer. The embryo for this transfer was genetically tested. This transfer resulted in a miscarriage. US showed a gestational sac measuring 5 weeks 2 days.

The clinic provides a price match for all services provided. My embryo transfers are price matched at $4,600. The cost of PRP was $500. The intralipid infusions are $300.

Dr. Bachman preferred to transfer one embryo at a time to decrease your risk of multiples which would be a high risk pregnancy. I did ask if I could transfer two donor embryos. Due to the fact that the embryos were donor embryos said she would have to ask the board for approval. Due to the extent of getting approval we opted for a single embryo transfer. However Dr. Bachman was willing to ask for approval if we were adamant about it.

He is very thorough and informative. Always provides numerous options and gives me to the option to proceed how I feel comfortable after receiving all the information. He treats me with kindness always.

That you will like him!

He recommended three to four cycles of letrozole to start. He said this was a good place to start for unexplained infertility. After that failed, he recommended another three to four treatments of IUI, as he indicated this was the next most aggressive and successful step. Finally he recommended proceeding to ivf once the iui's failed. I am currently waiting for different insurance coverage and a possible procedure. He suggested ivf because it has the highest chance of success regardless of what is causing my infertility.

Office visit Co pays for most visits that were non procedural. No cost for blood work typically. IUI package as self pay was $1500 per treatment.

N/A

Dr Bachman can be explained as angel on earth. She is very caring and comforting. She made sure I was doing okay physically and mentally as a patient. At my first clinic they would not even attempt to help me because they said I was overweight. Dr Bachman never mentioned that and never treated me as such! She truly changed my life. She gave me my IVF miracle and I hope she can give that baby a sibling in the future.

Trust her and know she will do what she can to help you.

3 IUIs using letrezole. Egg retrieval and ICIS because husband’s count was not good day of the retrieval. I had started to ovulate on my own so she said if I needed another retrieval she would change the protocol. She even pushed up my transfer because she knew I wanted to get it in before the holidays!

3,000 for IUI, not sure of IVF costs

Within the experience the interactions with Dr. Russel was very limited. He is very blunt, and I found that difficult since this is a very emotional process. When I had my consultation virtual visit after the transfer didn't work, I did not feel there was a lot of empathy just straight to the point. I asked to take a different path based on my insurance coverage and he was open to IUI although it is very unlikely it will be successful due to my chromosomal abnormalities. I think he knows what he is doing and will assist with what you need but there will be no feelings behind it.

Don't be afraid to ask questions and understand he is very straightforward. It can come off rude but I do not think that is his intent.

Scheduling appointments was very easy for the most part. When leaving any appointment you schedule the next (if you know the next time to be seen) and they are flexible with the hours. I had the luxury of being flexible with my work schedule. When I had to schedule another appointment I could message the portal and just ask for the date and a time frame. For example, can you schedule me Monday in the morning. They would reply back with an appointment time.

I was fortunate to have coverage through progyny for two cycles so I only had to pay my deductible

Did not have that conversation because I only had one healthy embryo

I have been incredibly happy with my experience with Dr. Bachman. She is the second doctor I've seen in the practice and felt she is a perfect fit for our situation. From our first visit, she spent time going back through my entire history of infertility (multiple years) and coming up with a brand new plan for retrieval and subsequent transfers. My retrieval with her was the most successful (ended up with 9 embryos - 5 PGT normal). My first transfer with her (4th overall) ended in a biochemial. My second transfer (5th overall) I am currently 5 weeks pregnant.

Ask any and all questions. She will take the time to address every single one, even if they seem silly. One appointment I came with a lengthy list of medications I had seen people take online and we talked through each one's pros/cons to determine if it would be helpful for me.

For retrieval, we used a combination of low dose hcg, follistim and ganirelix. This was helpful because I was self-pay for this cycle so she found affordable drugs that would give me excellent results. For transfer, Dr. Bachman suggested we try a modified natural (i.e. take letrozole to induce ovulation, trigger with Ovidrel and transfer a week later with suppository progesterone). These two transfers have felt so much better and I think she was correct in thinking my body didn't like the synthetic hormones.

Retrieval was around 12k, plus meds (usually around 3k). Transfers (for self pay) are 4500 plus meds (usually around 100)

I have never requested multiple embryo transfer so I can't comment on her approach.

Dr. Russell was very very straight forward, did not waste my time like other doctors. Told me what to expect, explained and went over all testing and results rather than just saying “everything is normal” he made sure to take the time to review and help me understand everything.

Trust the process and don’t give up.

As soon as a cycle would start I would alert the office, then go into the office for bloodwork and a scan and then give myself an injection to release the egg when needed and then they monitored with ultrasounds and would do the IUI however all were not successful.

My co-pays were $5, bloodwork $10 and testing was anywhere from $5-40 depending on insurance copays

I like that Dr. Russell is blunt and tells you like it is. I feel sometimes though he is to busy for me. I’ve been going for 2 years with no results. His reviews are great and because of work his office in Milford is most financially beneficial for me.

Don’t take to heart that he appears not compassionate he is blunt that’s his personality but I like it

At first he always said to use donor eggs from the beginning because of my egg quality and my husband low sperm count and the fact we could not afford genetic testing. First retrieval no eggs survived so no transfer before second retrieval he adjusted my medication and I had to go through a mock cycle when second retrieval came around I got 1 egg survived after the 5 day and we transferred that with no success. Then my job switched insurance and infertility is no longer covered. So we are now going to take a loan out and attempt using donor eggs.

For the most part it was convenient. Some appointments were out of there control because it had to be timed just right

The newest cycle will be 25,000 plus insurance copays each visit, through the last 2 years I have put an additional 5000 or more out if you include freezing , medication co pays, doctor copays, anesthesiologists co pay, storage fee. It gets me stressed even thinking about it with still no result

I would like to use multiple embryo transfers but dr. Russell prefers just single because of the risks

Dr Russell has always been very upfront and honest with my husband and myself. He builds his treatment based out of your individual needs, where you don’t feel so, “cookie cutter.” If we ask questions he answers to the absolute best of his ability and we take comfort in his honesty with us.

Listen. Listen to what his recommendations for you are. If it’s diet and exercise, do it. Follow what he tells you, because he truly does want you to be successful and have the baby that you so badly want.

We have done multiple rounds of 150mg Clomid, multiple cycles of Clomid and Follistim combined with intercourse. For IVF, We did 300 Follistim and 50 of Hcg daily with Ganirelix towards the end closer to retrieval. Retrieved 14 eggs, 10 mature, 8 fertilized, 2 made it to blast and ended up with 1 normal male embryo. We transferred him and miscarried at 6.5 weeks following ultrasound which showed gestational sac, yolk sac and fetal pole. Unfortunately, we can not afford to have any additional rounds of ivf and have no embryos left.

Cloned cycles were mostly covered by insurance, ivf was around $7500 medications roughly $3k, PGS $3k.

Due to having only one normal, one was our only option. But had we had two healthy embryos through PGS, Dr Russell told us that he would strongly advise against placing more than one.