Gago Center for Fertility

I most often worked with the office staff. I only saw Dr Gago at my original consultation and my mom-IUI procedures (sonohysterogram and polypectomy). The office staff were very knowledgeable and kind. I am happy knowing the staff is so capable. I understand I don’t have to see the doctor for every thing so I appreciate the ease at getting my questions answered by the office staff, rather than waiting for doctor availability.

They are there for you so don’t hesitate to ask questions.

We are using donor sperm for IUI as I do not have a partner. We are doing medicated IUI because of my PCOS and irregular cycles. We even switched to hybrid medicated IUI due to the first two being unsuccessful.

I am using my insurance, but they did provide the out of pocket costs without insurance and I remember thinking they were very good.

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Dr. Gago was very compassionate and understanding. I stayed with the clinic because I loved her as a doctor. She was able to be blunt, informative while still umderstanding how difficult this journey is. Dr. Gago had another physician there when I began IVF and he was the one that was the doctor on my case. He wrote up the protocol, and did the egg retrieval. However, there had been a breakdown in communication of what happens after the retrieval. Dr Gago got involved to help settle things, and ended up taking over my case. She recommended an ERA first before a transfer due to my PCOS. My results showed I needed 30 more hours of progesterone which pushed my transfer back by a day. Those results are the reason why my first transfer resulted in a successful pregnancy.

To make sure that if you are not getting the required communication from her staff, to let her know. She will take care of it right away, and you will not have the problem again.

At first I was on birth control for 2 months prior to starting the IVF meds to reset my hormones. I took 300 units of Gonal F, and 150 units of Menopur to mature the eggs nightly over 11 days. I was Ultrasound every 2-3 days to check growth. I was also taking 500mg of Metformin ER daily to help combat my PCOS symptoms. I was given cetrotide for 2 nights before triggering. I triggered over 2 nights. First night was with Ovidril and lupron, and second night with lupron. I was given valium and motrin prior to the retrieval to relax the uterine muscle, help with pain, and inflammation. I was also on 2mg of estradiol but cannot remember when I took it during the stimming. I only have 1 working ovary and had 25 eggs retrieved. 17 were mature, 14 fertilized, and 6 made it to blastocytes. We did PGS testing and sent out 6 embryos to be tested. 2 came back normal and both were boys. The month prior to the transfer we did the ERA test which showed I needed 30 more hours of PIO to be receptive.My transfer date was pushed back a day. To prep the transfer I took estradial 2mg, and injected lupron daily. 6 days to transfer I stopped the lupron, and began PIO injections. My first transfer was successful.

Dr. Gago uses Univfy to help predict your success rate per cycle. Depending on your rating you would be offered different programs. To get qualified for the refund program you have to have a success rate of 65% or higher for the first cycle. Our rate was 64%, but due to the issues we had she manually approved us for the refund program. The refund program costs $29,500 and you get 3 retrieval cycles with unlimited frozen transfers. With the 2nd and 3rd retrieval you had to pay $500 for anesthesia. All ultrasounds, blood work, icsi, semen analysis with wash included. If you have a successful pregnancy past 10 weeks of gestation you were refunded $5,000. However you no longer have the option of a 2nd and 3rd retrieval. If you went through all 3 cycle retrievals, and transferred all frozon embryos with no successful pregnancy in 2 years, you would be refunded 50% of $29,000. We also did PGS testing out of pocket through Coopergenomics which cost us $2,050, and did ERA out of pocket for $800. The $29,500 had to be paid up front and in full before they sent out your medications to the pharmacy.

Dr. Gago will only transfer 1 embryo at a time if you are under 35. Also we only had 2 embryo's, and were high graded embryo's. She did not want to risk multiples.

Dr Gago was very nice. She was about 45 min late to our consultation with her after we spoke with the nurse. The next appointment I came back for blood work and a hysteroscopy with an ultrasound. I was taken back promptly, but then waited at least 30 minutes for Dr. Gago before she came in to perform the procedure. She did not seem rushed when she finally came in and took time to answer my questions.

Expect to be there for at least double the amount of time of your appointment.

She recommended IVF with ICSI and PGS testing. We are moving forward with all options to better increase our chances of success. She has not reviewed medication protocols yet, but we are scheduled to begin our first egg retrieval May 22

IUI was $500 plus medications IVF is $13,770 plus medications, monitoring, bloodwork PGS testing is $1,500 for 8 samples then $175 for each additional Egg transfer is $3,200 plus medication, monitoring, bloodwork (following first transfer) ERA testing is $1,045

She was compassionate during my miscarriage and reached out to follow up. Provided me with full details. Called again to check on me. She even hugged me which showed me she cared. Made this horrible experience a little more tolerable. Didn’t see her during all of my treatments though, Just the nurses. Wish I would have received more time with her and further next plan steps.

Know that they won’t get much face time with the doctor but she is compassionate during times that aren’t very pleasant.

Hybrid cycles using Letrozole 2.5 Mg and Gonal-F redi-Ject 450 unit/0.75 injections and ovidrel 250 McG/0.5 as the trigger shot. None were successful cycles. Did 5 of them . Then did the all the same as above with IUI which resulted in an ectopic pregnancy .

I did not have insurance. Each cycle ran me around $1,250. Hybrid cycle. Hybrid cycle with IUI was around 1,650.

Dr. Gago is very warm and caring, and takes the time to patiently answer our many questions. She performs all major procedures (except our IUIs). She personally called us with our PGS results and I anticipate she will call with our beta results after my upcoming transfer. My only bad experience was during a recent hysteroscopy when we waited in the waiting room for a long time, and then the doctor and five other staff rushed in and hurriedly went about the procedure. It felt very frantic and was stressful. Every other time, Dr. Gago has been very calm.

Take the time to get to know the nurses. You will primarily be communicating with them.

Retrieval: 2 days Cetrotide followed by approx 1 week Gonal F 150iu, LDHCG 20iu, and Femara 2.5mg. Restart Cetrotide 2-3 days before trigger shot. Ovidrel trigger. Bromocriptine and Prometrium after retrieval. Results: 18 eggs retrieved, 11 fertilized, 11 embryos frozen and biopsied; 4 PGS normal embryos. -Transfer #1 (ongoing): Lupron 20iu daily. Estrace 1 tab vaginal for 2 days, increase to 1 oral/1 vaginal for 3 days, increase to 2 oral/1 vaginal for rest of cycle. Progesterone in oil 2cc beginning 6 days before transfer (earlier due to ERA results) and through end of cycle. Transfer is scheduled for next week.

IUIs were around $500 each; we paid about $350 after insurance covered the semen sample prep. Not including medications. We paid ~$23,000 for a multi-cycle IVF package with ICSI - includes two egg retrievals and unlimited transfers until viable pregnancy achieved. We paid an additional ~$2,000 to a lab for PGS. These costs do not include medications or monitoring, which fortunately were covered by our insurance with co-pays.

Dr. Gago strongly recommended PGS so we could confidently transfer one embryo at a time. She said her policy is never to transfer more than two embryos.

Dr. Gago is very put together and she genuinely shares the same goal as her patients. She will make you feel like you have someone you can rely on to help you have a healthy baby. She is good at explaining complicated matters. She has excellent bedside manner. She is confident and you will feel safe in the operating room with her. And in general she has set up her clinic to feel comfortable yet clean.

Be patient and prepared. You will not get much time with Dr. Gago.

Our fertility issue is recurrent pregnancy loss and not a lack of ovulation, but she recommended a very low dose of Femera (2.5mg) for 5 days from cycle day 3 to 7. She explained that this could help control egg maturation and therefore quality. Then, with monitoring I was told when to self-administer Ovidrel and had timed-intercourse. This resulted in a pregnancy but did not result in a live birth. Our baby had a random chromosomal abnormality (like the previous two). At our six week scan the baby was measuring 5 days smaller and his heartrate was 114. Since we knew exactly when he was conceived, the size variance was very concerning. Ten days later we went back in to confirm, either way, and his size was only a few days older and his heart was no longer beating. His genetic test results came back Trisomy 16, XY.

We had University of Michigan GradCare/Premier Care BCBSM insurance and it covered practically 100% of our treatments.

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I was assigned to a different provider in Dr. Gagos office because my case wasn't "enough" to be seen by Dr. Gago. After going through my diagnostic testing, the other provider realized that I had underlying fertility issues that she could no longer treat. I was set up with a diagnostic surgery with Dr. Gago without even meeting her. At the appointment date for my surgery, Dr. Gago was pleasant. But she explained the risks of my procedure quickly and moved on as if I was almost bothering her. After my surgery with her, she told me that I would need to have an actual surgery to remove cysts and endometriosis from my ovaries before I could continue fertility treatments. She explained that her schedule was way to busy that I would have to wait almost 6 to 7 months in order for her to do the surgery. So she sent me to an OB. This office never contacted me after surgery to see how things went. She never told me when to follow up with her. After getting the ok from the OB to continue fertility treatments, I called the office to make a follow up appointment. (It had been months since I was last seen in their office.) They told me that I did not need to have a follow up appointment that we could automatically start clomid on my next cycle.

You have to be your own spokes person. She will not give direct instructions for follow ups. Please ask questions!

When first starting at her office I was supposed to have diagnostic work done and then move quickly into a Clomid cycle. The diagnostic work caught underlying fertility issues that needed to be addressed before moving on to try to conceive.

I do not remember exact prices for treatment through Dr. Gago. But I do know they had hidden fees that were involved.

The clinic seems to be in a current state of having way too many patients than what they can handle. Dr. Gago needs to add another Dr if she wants to continue. We hardly saw her, had no idea about what was going on through the course of treatment, and only spoke with nurses. We went from 8 embryos on day 3 to 1 on day 5 (they gave one extra day and we had 3 total.) and were given no reasoning as to why. We then had them tested and were not told why we were only given results of two embryos. 5 minutes before the transfer we were told we only had one embryo left. Hardly enough time to decide if we wanted to continue at that point. The after care after the failed cycle has been the WORST. I was called by Dr. Gago 5 days after we found out the pregnancy test was negative. I asked her about further testing to find out what went wrong and was told "we don't want to point fingers." No further testing has been done and none was ordered. I have tried to reach the clinic to get a receipt for insurance purposes and have not heard back 11 days later. (Despite 1 phone call and 2 emails.) Overall, I'm very disappointed in not only how our cycle went, but the level of care we were given. It was the opposite of what many people who had so highly recommended her had experienced. Save yourself the extra money she charges and go to another clinic.

Save your money and find another clinic that doesn't charge the ridiculously high prices she does.

We were never told what our treatment cycle would be. Just given the list of medications to order. No rationale was given either.

For the cycle with ICSI it was around 13,500. We had additional testing done with tacked on an additional 5,000. On top of medications that were near 5,000.

I went to another clinic before and wish I would have went to Dr. Gago first. I believe her attention to detail and treating my specific needs are what resulted in the birth of my son. She is the most compassionate and knowledgeable doctor I have ever worked with.

Don't go anywhere else! I had to drive an hour and a half each way to see her and I would do it over and over again. I believe we are done building our family but if we ever decided to pursue treatment again I would drive as far as neccessary.

She treated me with auto immune protocol since I have rheumatoid arthritis and I believe this was one of the key reasons our transfer worked with her and not with our previous doctor. He didn't do anything differently than his other patients. With Dr. Gago she treated me and my specific needs

Approximately 4500 for FET and 2500 for PGS testing

Dr. Gago was very busy, we waited a long time when our appointments were with her and not a nurse or tech. However, when she was with us she spoke clearly, answered questions, appeared that she wanted to be there.

It is very busy so write down your questions so you don't forget in the heat of the moment.

We only did one IUI, my husbands sperm count was low. She recommended IVF after one failed IUI. We started IVF in April, everything is extremely planned with your own calendar. I did all the extra testing to ensure we had the best outcome.

$25000 including meds

My doctor didn't advise more than 1 embryo to be transferred at a time. After genetic testing we only had one anyway.

They are very nice at Gago Center. She is very knowledgeable and I was treated very well. The only reason I would go elsewhere is the cost. I plan to try CNY . Because we have spent so much already and they are much more affordable.

Bring a book. They are busy. Waiting room times can run behind.

She removed polyps in my uterus so an embryo would have a higher chance of implanting. For a different procedure called a mock transfer, I was able to watch it on screen. That was very cool.

Was quoted I think around 21000 for an ivf cycle with donor eggs

She recommended me to only transfer one embryo because I have what called a unicornate uterus. Small on one side. Probably would not support two successfully. I appreciated the cautious approach.

She is highly knowledgeable and forthright. When it was important she made time to see me.

Patience.

I am in the very early stages. I have had a spontaneous pregnancy that ended at 6 weeks so it set my treatment back. I received one month of ovidral just to see what happen. It was not the month I got pregnant. I will have hystosonogram this week before final recommendation but she says IVF is the way for now

So far I have been covered and pay my copays. IVF is not covered but they have financing and someone to speak with about those options when you get to that point

My experiences as a patient of Dr. Ayers had been nothing but excellent. I never have to wait ungodly amounts of time to see him and once I do see him he takes his time communicates very well and always takes my feelings, thoughts, and wants into consideration.

I’d highly recommend going to see Dr. Ayers because he has practiced for many years and will treat you well he will personalize your treatment plan and work with you every step of the way!

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I only paid out of pocket for my medication co pays

She was very compassionate and honest. She understood our finical situation and was very helpful when we were determining the best treatment and what we could afford. I had some significant discomfort after my iui. They made sure nothing was wrong and Dr Gago even gave me hug wussing me good luck

Don't be afraid to ask questions

We have make factor infertility. I completed tests she wanted done to make sure there was nothing wrong, other than our sperm count. We opted to try iui. I was placed on Femara and ovidrel to induce ovulation.

5,000 for blood work, medications, iui, semen analysis and wash

Dr. Gago is a very personable and caring individual. She showed compassion towards me several times throughout my treatment. She also was very helpful in explaining the details of the process prior to my surgery.

Although you may not speak to Dr. Gago at every appointment she will however, call every time she gets results. She will also let you know what the next steps are based on these results which is very valuable.

I cannot express strongly enough what a wonderful doctor and human Dr. Stentz is. She is obviously incredible intelligent, but is able to make a difficult and sometimes confusing process more understandable. She gave us the opportunity to try to get pregnant when I don’t know that any other clinic who have. We can’t thank her enough for guiding us through this process and for truly caring about me as a person. I don’t know what I would have done without her.

Dr. Gago seems very smart and passionate about care. She is very detailed oriented and does not leave any stone unturned. She works well with her staff to develop individualized treatment plans and does not stick to just one standardized treatment protocol. She has gone through infertility herself and therefore can show empathy and gives everyone a chance at reaching their fertility's goals, regardless on the odds for success even though it may hurt her overall success numbers. She can be quick at bedside, but I get the impression she would stay longer as bedside if she felt like it was needed.

Do not be shy and ask all questions.

I do not understand the specific of each protocol, but she did adjust during the first cycle the dose. The 2nd cycle she adjusted further to try and improve maturity of eggs. I felt I was kept on track and thankfully never had a cycle canceled. Will be working on plan for 3rd cycle and what needs to be adjusted.

Given a breakdown of costs in an invoice. IVF part ($13, 270) ● IVF Cycle Management ($2,750): Includes all physician services from stimulation day 1 to your oocyte retrieval, management and coordination of your cycle by the IVF nurse, communication with the PGT/PGD lab, ultrasound guided trial transfer, financial consultation, injection instruction and IVF nurse consult. IVF cycle management fees are not reimbursable by insurance companies and are non-refundable even in the event of cycle cancellation. ● Oocyte Retrieval: Also known as egg retrieval, the oocyte retrieval includes physician services and supplies associated with the procedure, ultrasound guided transvaginal oocyte retrieval, pre and post-op care and operating room charges. ● IVF lab fee: Includes all fees associated with the IVF laboratory; oocyte identification from follicular fluid, sperm preparation for fertilization, oocyte fertilization, embryo biopsy for PGT/PGD, embryo culture and preparation for embryo transfer. This fee also includes embryo cryopreservation and storage for 18 months. ICSI or Intracytoplasmic Sperm Injection, which is a micromanipulation technique used to directly inject the egg with a single sperm, which in some cases may enhance the chance of fertilization. ● Embryo transfer: Includes all physician fees on the day of your procedure, supplies associated with the procedure, embryo selection, pre and post-op care and operating room charges. Anesthesia services ($500) Monitoring (billed to insurance, possible $4500 private pay) PGT-A (out of pocket $400-$1950 depending on # of embryos) Medications (billed to insurance, possible $4000-$8000 private pay)

We have not gotten that far yet, however I suspect she is by the book and following the ASRM guidelines. Goal it healthy baby and healthy mom without going through unnecessary risks.

From our first consult Dr. Gago moved quickly, which was appropriate on our case. She discovered my uterine factor challenges quickly and addressed them through multiple surgical hysteroscopies. I have since learned that her surgical technique is in line with the top doctors doing these kinds of procedures and I feel fortunate. She has been compassionate, but frank, answered our questions thoroughly, and didn’t pressure us to move quickly to IVF (although ultimately we did).

Get as many of your questions as possible answered by Dr. Gago in person. She is great at responding to questions and I have always felt like I understood if I spoke up and asked/clarified. Instances when I left with questions made it difficult to get clearer between times with her.

Dr. Gago first spent time treating and removing uterine scarring from previous c-section, myomectomy, and d&c. She was educated about best practices and prescribed estrogen therapy to heal the uterine lining. She gave us a list of recommended supplements at the beginning of our treatment to improve egg quality and more. At the time it seemed strange to me and a little presumptuous, but I’m grateful because it meant I was on those supplements for months in the lead up to my eventual egg retrieval. For my stim cycle, I didn’t ask many questions about the protocol. It was based on my age and the knowledge that despite my age I had healthy AMH, etc. Side effects were minimal. We retrieved 25 eggs and await further results.

Our fertility situation qualified us for a package. Two retrievals and “unlimited” transfers is about $20,000 plus meds and monitoring appointment costs. This includes ICSI, storage, etc.

We have discussed this and in my case single embryo transfer is the best approach. I don’t know if she would counsel to transfer multiple embryos in a different circumstance.

I would highly recommend Dr. Gago to anyone trying to conceive. She’s incredibly talented with reproductive medicine and helps guide patients in the right direction for their needs. She’s supportive and confident.

Make sure you ask questions. Occasionally I’ve left an appointment not understanding what something meant, but it was purely because I didn’t ask enough questions. The staff is incredibly transparent.

It’s varied every cycle based on my changing needs.

My insurance covers fertility issues, so I’ve been pretty lucky. Without insurance, IVF can run from $12,000 to $15,000 depending on testing and other special choices for embryos. They also charge separately for anesthesia with a $500 fee. Patients should be able to submit to insurance if they’d like.

She highly recommends single transfers, but makes a personal recommendation based on individual fertility complications and history.

This doctor is very professional and compassionate. Helps you and your partner understand what is going on and all of the trials and tribulations involved. Even though she has to see a vast majority of patients between two different locations of the clinic she does a very great job with making you not feel rushed and that she is taking the time for you and for your case. Trying to get pregnant is such an emotional time for you and your partner, having a great doctor makes everything so much easier even when your not having an easy time.

Be ready for all sorts of plans, information, and procedures to be presented with. They give you the time you need to discuss options, don’t pressure you into anything, and are very understanding with financial issues letting you know how much everything will cost ahead of time so there are no surprises.

We did a endometrial scrape to try to get my endometriosis under control. We also did a water test through my Fallopian tubes to make sure everything was working correct there. We did multiple vaginal ultrasounds to look at my ovarian cysts and uterine fibroids. They sent my husband to a urologist to help diagnose his sperm issues and we tried 2 rounds of anastrottle and clomid to increase results, but it did not work.

The total treatment for us to go through IVF is 19,600 and some change. $5-$7000 of that is medications, lab fees 5-8,000 for the doctor and procedures of egg retrieval and putting them back after embryos are made. The rest are lab fees. We paid about $400 out of pocket for the Fallopian tube testing

We have no reached this step in our IVF but from discussion we are going to be doing a multiple embryo transfer because my eggs are good

Dr. Gago was compassionate and talked with us about our situation. We had multiple consults with her. Sometimes we would have to adjust treatment. We tried IUI two times and were not successful so we were more aggressive with the third IUI trial. I also had surgery to remove scar tissue twice. The first time I really didn’t know why I had it and would’ve wished she talked to me about it. The second time I knew more and when she updated her technique and it was much smoother! Also during my hesterosocpy I was nervous and she was compassionate and we took a break during it and she got me a cold compress. Overall I was pleased to be Dr. Gago’s patient.

Have questions to ask beforehand so that you are ready for the appointment. For any prospective fertility patient in general just know that it’s a journey and a process. Ask if you need a break it’s no big deal if you need to take time away from treatment and let them know when you are ready again.

I started yoga, prenatal vitamins, co q 10, folic acid, vitamin c, vitamin d, and added mor fruit and veggies into my diet. Dr. Gago said it was good to be holistic and include modern medicine together. I had a hesteroscopy and it discovered scar tissue so I had surgery to remove it. I had two IUI cycles with Ovidril. The second one I had to take progesterone after, because my level was low. The third IUI cycle was a hybrid cycle so I had different medications/shots and ovidril. It was unsuccessful. I had another hysersocopy and it discovered more scar tissue so I had it removed. She said with our numbers it would make more sense to do IVF versus more IUIs but we were still welcome to keep trying if we wanted. Then we were going to start IVF, but it was so far out of our budget that we decided to have a consult with another clinic.

With Dr. Gago our insurance helped cover IUI we were about $250 out of pocket costs for each try. For the surgery I had a co pay of $100. All very reasonable, until IVF then our insurance wouldn’t cover it. They would be $21,000 for one cycle or $24,000 to try two cycles (or just one if the first was successful) .

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Dr. Gago is great at conveying intention, care, knowledge, recommended treatment. She sees a lot of patients and most times runs behind or isn’t available to communicate with. At times procedures seem rushed but when you get her she will listen and respond to as many questions as you need.

She’s a very caring doctor and fights for your pontential baby! She is conservative of life.

Due to my surgeons recommendation IVF was my only recommended option due to lack of time for fibroids growth and my age. Set up egg retrieval, 5 day frozen with genetic testing, transfer, ERA biopsy after first failed transfer and adjusted meds for second FET which has failed, plans to move forward and recommendations will be discussed next week.

Our out of pocket medical exspense were somewhere around 28,000.00

Due to my surgical history single embryo transfer was my only recommended option

She is very caring and sympathetic to our hard journey. She has tried different options, talking with different doctors, and pushed hard for us. It’s hard not having exact answers but I trust that Dr. Stentz takes it hard too and truly wants to do everything in her power to help us conceive.

Ask any question about altering treatment. She is open and very flexible to different options

I know we used letrozole for the iui’s. When those were unsuccessful we tested my partners sperm. After 3 failed iui’s we moved on to IVF which was our choice but also suggested by Dr Stentz. We used ganirelix and other injections. We are at the end of a 4 month break so I don’t remember all the details.

We had 3 failed iui’s, 3 failed ivf(with no embryo transfer), and one ectopic pregnancy that was medicated and we’ve spent around $87,000 so far

I know she only wanted to transfer one embryo but we never got to that point because none of our embryos matured.

Every visit we were given thorough information. we always left knowing what the plan was, and the office was always accessible with out of office communication. We were overall pleased with the care and plan, but disappointed with the results. Dr. Gago was pretty busy the day the cycle was cancelled, and we felt a bit rushed through with questions after we were given news of the cancellation.

Make sure you have all questions answered before leaving.

The treatment was the standard medication protocol, and it was cancelled before the retrieval.

The total was about 18,000 dollars.

We trusted her and treatment plan.

I had a great experience very helpful. All of her staff is like family. Each visit was fast and easy they talked to me like I was a family member. The only thing I didn't like about the whole frustrating procedure was that I kept on miss carrying. And they were all hugging me and right with me and it helped

Be patient and try not to think about the whole process too much. Miscarriage can happen

12,000for ivf and 3,500 per transfer and like 6,000for all medicine for ivf process and transfer

She gave me alot of strategies to get through the ivf process and was helpful and did the best that they could