Jacksonville Center for Reproductive Medicine

Dr. Lipari is very compassionate and I can trust that he truly cares about me as a patient. He is dedicated to my care and has called me afterhours to answer questions as well as being available to perform transfers/retrievals even if it wasn't his "day" to do so. He never makes me feel rushed during appointments and makes sure to fully explain everything and answer all questions. He has made this very difficult and taxing journey easier to navigate through.

don't be afraid to ask any question you think of, he will never make you feel like it isn't valid or rush you through the appointment

We have done 3 retrievals using an antagonist protocol with follistim, menopur, and ganirelix injections. Due to risk of OHSS we were not able to do the HCG trigger shot or fresh transfer and instead used Lupron trigger. We ended up with a total of 7 PGS tested/chromosomally normal embryos. Unfortunately our 4 frozen embryo transfers have been unsuccessful. We will be starting another retrieval cycle soon with the addition of human growth hormone to hopefully produce more chromosomally normal embryos.

Dr. Lipari strongly suggests single embryo transfers, especially with PGS tested embryos. After 2 failed single embryo transfers and a normal ERA result, we really wanted to transfer 2 embryos. After discussing possible outcomes/risks, he agreed to do this for us

Dr. Lipari's biggest strength is that he listens to his patients. In the beginning of my treatment, I always felt more hopeful after meeting with Dr. Lipari. Dr. Lipari is also very well read. He will tell you about recently published research papers. At the same time, Dr. Lipari did not order thorough testing on me. Several tests ordered were done at my request. After my second IVF cycle with Dr. Lipari, I no longer felt more hopeful after meeting with him. In fact, I began questioning his expertise with my condition. He also did not thoroughly explain risks associated with PGS testing - he only advised us against PGS testing after I questioned the use of it with my condition. Moreover, he described a protocol one way, but then it was done very differently. All in all, I think Dr. Lipari is a great "first stop." If it weren't for him, my endometriosis may not have been discovered. His empathy and excellent bedside manners helped me cope with news about my condition. At the same time, I do wish he did more thorough testing, did not synchronize his patients' cycles, and more accurately/thoroughly described procedures.

Do research and advocate for yourself. Also, decide if you're comfortable with batching (i.e., having your cycle synced with other patients' cycles).

We used the antagonist protocol for the first two IVF cycles. Both cycles used 225 Follistim and 75 Menopur. We triggered too late during my first IVF cycle (one of my eggs was "hard boiled") so we triggered earlier for my second IVF cycle. Because of my diminished ovarian reserve, we got three Day 5 embryos between both cycles.

Dr. Lepari is an excellent doctor with an excellent knowledge of not only infertility but endometriosis. He was the first doctor who has ever diagnosed me with endometriosis in over 23 years of constant complaining to PCP and my GYN about my constant pain, cramps, heavy bleeding with clots, etc. He is also one of the few doctors that do the endometriosis excision surgery in the country.

He is based in Jacksonville most of the time and only in Gainesville twice a month so book appointments in advance.

I was put on birth control, a high dose to stop my heavy bleeding that would last over 2 weeks. I have a diminished ovarian reserve due to endometriosis damage and Dr Lepari has planned that we skip mini stims and jump to mega stims injections so we can be more aggressive along with Femera. If that does not work we will have to do IVF. We are trying to save up for the treatment.

The appts were between $250-$450 for consults and treatment for mega stims and meds are approx $2,000

Does not apply

Dr. Lipari takes his time with his patients to ensure understanding. He gives you the best options at the time. His communication skills are exceptional and the time spent makes you feel special. When dealing with endometriosis and PCOS , he made sure to explain exactly what they are and how we would treat them. When it came time to have surgery for my endometriosis, he made me feel comfortable, which is hard to do considering I am an ICU nurse.

Be patient. Trust the process.

When we first went, the goal was to find out why we weren’t getting pregnant. He assumed I had PCOS given my symptoms. Blood work was done to confirm. He performed a hystoscopy to check to see if tubes were blocked and flush them out, to eliminate that being a factor. Then I was diagnosed with endometriosis, the plan was then to have surgery to scrap it out. We did our first IUI with letrazole, shots and a trigger shot. However I responded to the letrazole well and only had time for the trigger shot. My husband has had multiple SAs and each time they are different and we are not sure why. My husband has been placed on clomid to help increase his testosterone and other hormone levels. He is now only taking half a pill every other day. We are going to be scheduling another mega IUI and then it seems if that fails, the plan will Be IVF.

Each visit is around $200 to $300. Out IUI cycle included medication was about $1500-$2000. SA costs are around $300.

Not sure yet.

I go to the clinic in Gainesville so I dont always so Dr. Sarch Paschall but I do see her associate that runs the Gainesville office and she is really god because she will tell the doctor how my cycle are going and if there needs to be any changes to the medication. Dr. Paschall remembers who you are because I dont have the chance to always see her but she knows who you are. The only reason I dont see her that much is because she works out of the Jacksonville office and going to the office takes to long to drive.

She will listen to you and she understands and a lot the nurse at the clinic know what it is like to be going though the treatment.

Menupor 150 7-8 pm for about a week. Letrozole 10 tablets all at bedtime on the first day with 150 menupor. Chorionic gonadotropin 10k (hcg) on trigger day. Progesterone 200mg sgc. Twice a day until the doctor calls with the results. I have been on the same medication sense I have been with her just because I have good results. Each month I have between 2 or 4 follicles which is great. Sometimes there is more but with me they are trying but the results are always the same when test day comes negative even with good follicles.

My insurance covers everything except iui and ivf. I have a copay of 20 dollars everytime I go and see her and when I check my beneficiary page for insurance they get charged 500 every time I go and I usually dont get a bill in the mail unless my referral ran out of days and I have to go and get if fixed. For the medication I pay about 80 dollars for the meds because if I had to pay the full price I wouldn't be able to cover it.

He took time to go every how everything would work. Why we are were we are today and the things we can do to help. Never made me feel uncomfortable. If I was confused on what he was saying he would break it down for me step my step and explain definition of any words we didn't understand who how they fit into our treatments. When I explained that I was scared or nervous he took time to assure me of the risks and benefits to make sure I was comfortable with everything. When I had extra questions after I was able to call and get the answers I needed.

Have patience and an open mind because if you don't you will not get what you need.

We used about 3 different methods. One or two of them before I had a procedure to help and then after was well.

In the end it can be costly but each fee and procedure did seem to be affordable. We definatly didn't have money set aside but we were able to get what we needed up to the point of my body was not working for us and I have no other treatment options but IVF which we cant afford at this time

I didn't use these services

Dr Ripps is very evidence based in his practice. He explained everything ever step of the way. He uses graphs and power points and makes everything very easy to understand. He is also very thoughtful.

He likes to get into the details of every diagnosis and procedure, so if you are a less is more person let him know at the onset of appointment. I could see were some people may be in information overload after an appointment with him :-)

After going through all my test results with me, he was very honest and told me it was going to be very difficult for me to get pregnant with my own eggs. He said to get the most out of our treatments for the money we should go straight to IVF. We did a traditional cycle on maxed out doses of menopure and folostem, we did not get any viable eggs. We then went to an antigonist cycle where I got 5 eggs, 4 fertilized, 1 made it to day 5 that resulted in a chemical pregnancy. I then chose to move to donor eggs. I am currently 5 weeks pregnant.

They are extremely flexible!

He was a good bit cheaper than other clinics in my area

She was a very caring and understanding woman she listened to our concerns and Goals. She told us about all the processes and any complications we might face. She never rushed us through an appointment. I truly felt like I was in excellent hands.

Trust in her, she will keep you in good hands

Our office visits were covered under our insurance. But we did a clomid treatment cycle which costed us 600$. The next one up costed 800$ which included injections

We only did pills and injections

Has no children of her own. Was annoyed with my 4 year old when he had to visit. Did not seem interested in children. In many cases left me with no hope. Had no idea about cost or options for financing. Did not direct me to someone who could help me with financing.

Don't look for sympathy. Don't look for a counselor. Expect clinical honesty.

Dr. Yates suggested ivi for 3 Cycles and while happy with my egg production did not result in positive test result. Suggested IVF but we have been unable to obtain the finances.

$3000 iui per cycle

I barely saw Dr. Lipari. When I met with him on telehealth, he gave me a lot of options but we never officially decided on anything. There is a lot of miscommunication because you’re never dealing directly with your doctor. You are part of an algorithm, not an individual.

Make sure you get all your questions answered when you see him because you will probably never see him again.

We never got to start any treatment cycles because of poor communication.

I cannot remember. Insurance covered a substantial portion.

Dr. Lipari is kind and also very well informed about the latest research. He treated me as an individual and was willing to be creative when conventional approaches were not possible. Most communication is done via staff in Gainesville, but this worked out okay.

Ask questions; he will answer them.

The clinic is not always very clear or upfront about costs. I had several surprise bills that were very large. My IFV with FET cost me about $17,000.

He has a strong preference for eSET, and would not allow me to transfer more than one embryo due to the risk of multiples.

he's very caring and has a good sense of humor and a great bedside manner. He was very through and cared about our family. He treated us well and with respect. He didn't push us into treatments that we were uncomfortable with or that went against our religious beliefs.

That you're in good hands.

It seemed about average.

She was thorough in the diagnostic testing but she was pushy about ivf. She did find out why I couldn't conceive when my gynecologist could not. She seemed to care but still was pushing ivf and when I told her I was seeking a cheaper clinic she tried to change my mind by saying cheaper doesn't mean better.

She is goofy.

I only had a laparoscopy and tube removal with her. Couldn't afford further treatment.

I only did testing and consults

He knew what he was talking about and didn't waste our time. He was thorough throughout the consultation and gave us a clear plan to success which we followed with success. He diagnosed our unexplained fertility in a matter of minutes when noone else had been able to despite going through ivf cycles. We will be forever in his dent and can truly say we may never had had children if it wasn't for him:) thank you

Listen he knows what he's talking about

Don't waste time, don't try this treatment that treatment. Have a laparoscopy then go straight for IVF!

On the high side

He appeared caring and compassionate, knowledgable and passionate about building families.

He is going to put you on a no carb diet. It is his thing. He is crazy passionate about it.

We did IVF, but I don't recall the specific drugs that were used. They were adjusted as we did the various cycles.

It was a package IVF deal for several cycles that was less expensive than other clinics in the area but did not include meds costs.

Very detailed and informative. Takes his time in making sure you understand everything. He doesn't rush and sits to listen to your every concern he is very patient and good in his profession. I wish I would have came to him sooner but I happy that I'm here. Such a truly wonderful person

If you have problems with fertility and have been trying for years please go see Dr. Fox he is , from my experience, the best in his field

Because my insurance doesn't cover fertility related costs its very pricey just to take the first step in becoming a parent

Dr. Fox would like to be able to 2 embryos to greater my chance, but I can't afford, so I'm trying to save for 1 embryo

Dr. Lipari had an excellent treatment plan on the first day I met with him. He had read my history, knew that my uterus was unicornuate with a non-communicating uterine horn on the left side, and he welcomed the fertility challenges that I would face. He was excited and encouraged that my torsed (and what I was informed was a “dead”) right ovary would likely begin to grow eggs again. He clearly explained that the only thing needed for eggs to to regrow is the presence of the tiniest layer of live ovarian tissue; mentioning to me that he had personally witnessed eggs grow successfully from a piece of ovarian tissue that was placed inside of a forearm! He had no doubt in his mind that my right ovary would heal and that I would have great success, and he was absolutely correct. I was alone at the appointment that day, but that was the furthest from alone I had ever felt due to the tender words and impressive expertise demonstrated by Dr. Lipari. I could not wait for my husband to finally meet our new doctor, and my husband felt the exact same way. My left ovary is completely healthy, but there is no communication between that ovary and my uterus. My right ovary is the only one that has direct communication to my uterus and it had been presumed necrotic and “dead” after my last reproductive endocrinologist performed surgery and untwisted my torsed ovary in January of 2020. It had been two and a half years since my right ovary was severely injured, and Dr. Lipari’s clinic was able to successfully retrieve one mature egg from that injured ovary on our first retrieval. I have had three retrievals at the JCRM. During the first retrieval cycle, we gained 2 embryos, but Dr.Lipari noticed that my eggs matured very slowly so he increased the IVF medication dosage during the second round. He explained to us that beginning with 2 embryos is great, but he agreed with us when we decided that we wanted to try again and freeze more embryos just case something goes wrong in the future. Our desire is to have more than one child. When our second retrieval yielded no embryos, he was still encouraged and immediately suggested that we attempt a Luteal Start cycle, which would take more time, but would allow the bundle of smaller, less mature eggs that were lagging during my cycle to grow together and have chance to reach maturity for retrieval. He explained any and everything that might have caused no embryos to form even though all of my eggs fertilized the second time around, but he never made us feel hopeless or as if we had made mistakes along the way. He was certain that a Luteal cycle would yield more mature eggs and be successful for my situation. He kept me on my increased doses of IVF medication, and on our third retrieval we froze 3 more embryos for a total of 5 healthy embryos! Dr. Lipari has always cared deeply for us, and from the very beginning he never wasted our time performing or suggesting unnecessary procedures just because they were routine for IVF patients. He didn’t put me on Clomid first just to “see how my ovaries would react” during the actual IVF process, which is what one of my previous doctors wanted to do. There was never a time when I felt rushed or forced to do any procedure I did not want to do. He explained the significance, benefits, and risks of receiving an HSG and a hysteroscopy, two procedures usually performed before an IVF cycle, but he did not force me get a hysteroscopy if I did not think it was necessary. Due to my medical history, I did not believe the painful procedure was warranted and he was completely in board with my decision. Having personal autonomy is one of the most important things a patient can receive from a doctor, and Dr. Lipari provided that for me and so much more. He gives me confidence that we can do anything and that he will always be here to guide us through our good times and our hardships. Although Dr. Lipari is my doctor and treated me throughout all three cycles, he was unable to perform any of my retrievals. This is the reality of IVF, unfortunately. Due to my retrievals being delayed because of egg growth, the timing of the cycle calendar, and his surgery schedule, I would usually miss my opportunity for Dr. Lipari to personally perform my retrieval on retrieval day. He would see me the day before the procedure, perform my last ultrasound, confirm my progress, and would never hide his excitement for me, but the timing of my retrievals never lined up with his schedule. Dr. Fox is the other doctor that works with Dr. Lipari and was the one who performed all three retrievals on the last day. In a clinic, doctors work together to get the job done. Even though it was out of our hands, and Dr. Fox was not our first choice, he was still a highly-skilled, senior doctor at the facility who was not new to the task and was wonderful at his job. The fact that he could not be there on the last day does not diminish any of my experiences with Dr. Lipari as my doctor. He is the one who oversees my care and success throughout each of my cycles. He is the one who guides me through the hard times and pain. He is always there to adjust my treatment plan and dissuade me of any worries I may have along the way. Dr. Lipari has changed my life for the better, so I am willing to compromise. He guarantees that he will be the one transferring my embryos because that process is completely scheduled with less time constraints, so he and I are looking forward to that day when he transfers my embryos and helps my husband and me build our large family.

Listen to him intently. Any nervousness or uncertainty you felt before meeting him face to face will disappear as soon as he walks into the room and introduces himself. Be prepared to be cared for. Dr. Lipari wants to spend as much time with you as possible, so ask him questions that are simple, difficult, and embarrassing because he enjoys answering them all. He is only happy when his patients are happy.

Dr. Lipari began my treatment with the suppression medication Norethindrone 5mg once a day to prevent ovulation until my baseline ultrasound. After my ultrasound confirmed I was ready to begin IVF medications, I began taking my agonist medication. The agonist used was Menopur 75 International Units (IU), along with Gonal-f 225 International Units (IU). I continued my treatment for approximately 10 days until he confirmed I was ready to begin taking my antagonist medication. The antagonist medication used was Cetrotide 0.2mg. Dr.Lipari made sure to confirm and anticipate my egg progression with each ultrasound, and explained the reasons why he decided to delay the antagonist injections or delay my retrieval day. He wanted to be able to retrieve as many mature eggs as possible. He also explained delicate balance of pushing the trigger day forward to gain a few more mature eggs and risks of waiting too long to stop the medications, causing the mature eggs to deteriorate. He was very skilled at manipulating that balance and weighing the risks versus benefits of my treatment. During the first retrieval, we gained 2 embryos, but Dr.Lipari noticed that my eggs matured much slower than anticipated, so he increased the agonist Menopur dosage from 75 IU to 150IU during the second round. When our second retrieval yielded no embryos, he was still encouraged and immediately changed the plan and suggested that we attempt a Luteal Start cycle, which would take more time, but would allow the bundle of smaller, less mature eggs that were lagging during my cycle to grow together and have chance to reach maturity for retrieval. He explained any and everything that might have caused no embryos to form even though all of my eggs fertilized during the second cycle, including the possibility of sperm quality due to the fertilized eggs reaching day three but beginning to deteriorate afterwards. He was certain that a Luteal Start cycle would yield more mature eggs and be successful for my situation. He kept me on my increased dose of agonist medication. He pushed my retrieval day forward again by about two days. He even had me take a “booster dose” of Gonal-f 150IU on the morning of my trigger day to nurture and encourage egg growth. On our third egg retrieval, we gained and froze 3 more embryos for a total of 5 healthy embryos!

The costs for me were minimal due to my fertility insurance kicking in at the right time. The clinic was happy to inform me the Progyny insurance was new, but that everyone at the clinic is being trained on how to process it. The normal cost was over $25,000 for each retrieval cycle to freeze embryos. We paid about $6,000 for each cycle.

Dr. Lipari has mentioned his position on transferring multiple embryos, and he does not seem adverse to doing so depending on the patient’s age and age of the embryos. Dr. Lipari definitely explained to me the major risks to the mother and babies when it comes to multiple births due to a multiple embryo transfer. He made it clear that the protocol is the same nationwide when it comes multiple transfers and transfers in women over 50: it is widely discouraged. The age of the embryos and the age and health of the patient is the most important as far as Dr. Lipari is concerned, and I believe that Dr. Lipari would do a multiple embryo transfer if he were permitted to do so.

Dr Lipari is very compassionate but not unrealistic. He would let us know if we needed a different treatment based on blood work and tests. He never moved forward with a treatment without asking us first which I really appreciated. We felt very safe with trusting him in this very delicate journey. We felt like he heard us and finally we were able to get some answers to issues we had been wondering about.

Because they are a very busy team, don’t set your expectations to think you’re going to see your specific Dr every single time. A lot of appointments were done via TeleHealth and they’re not always going to be with your specific Dr. But that never bothered us.

At the start of this journey our protocol looked different. A different treatment plan was discussed at first in moving forward. After all the testing both my husband and I went through it was then recommended we go a different route. Dr Lipari initially thought we’d only need ovulation therapy but again after testing and blood work results came back, he concluded IVF would be our best route. He didn’t want us spending even more money on different treatments that might not give us the results we want and instead go for the big treatment. He didn’t want us wasting time if he knew those other options weren’t going to result in a successful outcome. Again, something we really appreciated.

Medication costs is separate from any actual procedure. Not all, if any insurance companies cover fertility treatments so be prepared to spend a lot of money. Sadly, the cost we had been quoted in December had doubled since the new year and we weren’t made aware of that fact until the day before our full amount was due. That caused some extreme stress on us both mentally and financially. So we ended up having to pay double then the amount we had been previously quoted.

He is always willing to listen and understand where I am coming from and actually hears what I am wanting. He is an amazing doctor!! His surgery was very successful and it turned out that I had endometriosis, fibroids and cysts and he got all of that taken out. He strongly believed in me that I was capable of conceiving on my own with out IUI or IVF which was a huge relief since our insurance doesn't cover IUI or IVF.

Understand what you and your partner want and be clear on that and explain to him your expectations, frustrations, and worries. He will definitely take that into account. He will not strongly suggest IUI or IVF if it is not necessary like other doctors I have seen and will try to get to the core reason of the infertility. just amazing!!!!

He recommended me the high fat high protein low carbohydrate diet since I am glucose intolerant. When I followed that for 2 months, I was able to conceive naturally with no treatment. That ended in a miscarriage but became a tremendous encouragement for the 2 of us to know that we CAN get pregnant!!

I have not had to pay anything else other than copay for medications for ovulation induction cycle.

Dr. Lipari took the time to walk me through everything and was caring throughout my cycle. I appreciated the care and concern everyone at the clinic treated me with. While, I was disappointed in my failed cycle, I'm convinced that they can and will do all they can to help me become a mother.

Be truthful and honest in what you want.

We did diagnostic testing which included several ultrasounds, like an hysteroscopy and mapping out where my fibroids were. The injections included Menopur, Follistim, Ganirellx, and the trigger shot. In addition, estrogen vaginally. All.in preparation of the egg retrieval. The estrogen helped my follicles grow because they were growing slowly. My cycle failed and the options were discussed. I could do another cycle or have surgery to remove the fibroids and any endometriosis. Due to financial difficulties, I choose to do surgery to remove the fibroids and endometriosis so that when I can afford to do another cycle, my uterus is optimal. My surgery successfully resulted in 16 fibroids removed and endometriosis from the bladder, uterine lining, and right fallopian tube.

I paid for the cycle, meds, and a co-pay for ultrasound. The cycle was about $9000. The transfer cycle was another fee.

The preference was a single embryo transfer and I agreed.

Dr. Paschall has been empathetic, patient, and thorough from our initial consult. After seeing multiple doctors with minimal relief she finally helped be understand my condition and treated it. Endometriosis is often over looked and I felt frustrated prior to seeing Dr. Paschall but she has been so reassuring, thorough and supportive not only with my excision surgery but also as I approach going through fertility treatment which I had not expected to start at a young age.

Take notes during your visit, she provides a lot of great explanations and insights. Speak up if you have questions or concerns because she will listen and help work through any of them.

Currently about to begin my first cycle so I don't believe this questions applies.

I had to pay out of pocket for two visits one was $145 and one was $225. I also had to pay several co pays that went towards my deductible rangin from $50-100.

Have not done this yet.

I am so grateful to have found Dr. Lipari, I have had 2 surgeries with him now and I absolutely love working with him. He knows everything there is to know about treating endometriosis and all of the other reproductive issues I was dealing with. He's always been very patient and relatable and willing to help any way possible to get me where I wanted to be. Highly highly recommend him and couldn't be happier with my experience and treatment plan from him.

Write down any questions you have prior to meeting with him or the nurses. Keep calling if you don't get through to who you need to speak with, staff is not the most attentive and probably won't get back to you in a timely manner.

I had excision surgery for endometriosis, during surgery, he unblocked my tubes, fixed the septum in my uterus (heat shaped uterus), and removed a few cysts. After surgery, during recover I was given Provera to induce my period (which were typically very irregular) and ever since then, about a year and a half later I am still having a regular period. My husband and I were very excited to start trying for our first baby once I was fully recovered.. we did 2 rounds of Letrozole with timed intercourse and hcg injection, with no luck unfortunately.. but after continued pelvic pain post-op we decided to put that on hold. I was then diagnosed with 2 hernias and just had my second surgery with Dr. Lipari to get them fixed and to make sure nothing else was going on in there to cause me any more discomfort. Both surgeries went great, and recovery was a little difficult, but we'll worth it.

Everything was covered through our insurance, I think the most we had to pay was about $50 per cycle of Letrozole and of course travel as we lived 2 hours from the clinic.

Dr. Lipari has a warm and calm demeanor. He was very knowledgeable about endometriosis, which is one of the reasons we chose to see him. Knowing this was to be our last try at IVF (after three failed cycles at another clinic) he offered a good balance of hope and realism. I felt like we were in good hands.

We asked him if there was anything we could do differently after he reviewed our previous cycles from our first clinic. He came up with several ideas, including priming with human growth hormone for several months to improve my egg quality. Though this extended the treatment time, I feel it may have been the factor that made the difference for us. So don't be afraid to ask for out of the box thinking.

We primed with HGH (Omnitrope for about two months) prior to retrieval to help with egg quality. The stimulation protocol was a low dose of Follistim and Menopur (75iu of each except for day 1 which was 150iu follistim.) The goal was egg quality over quantity and since I had responded pretty well in my previous cycles at another clinic, Dr. Lipari felt confident that low dose was the way to go. This resulted in 9 eggs, 8 that fertilized, 2 day 5 blastocysts and 2 day 6 blastocysts. We did a day 5 transfer of the two day 5 embryos, which resulted in a twin pregnancy, but sadly I miscarried at 9 weeks. Several months later we prepped for an FET of our two remaining day 6 embryos. I took birth control, then Lupron, adding in estrogen and progesterone in oil injections. Amazingly, both embryos implanted and we were blessed with twin girls after a four year struggle to conceive! Details that I feel contributed to our success - -Priming with HGH for egg quality. -Biopsy for endometritis before transfer. I did have it and did a round of antibiotics. -Adding in Lupron before transfer to suppress my cycle. -Continuing our progesterone injections through week 11 of pregnancy. Longer than necessary but just to be safe.

I don't remember the exact number, but our IVF cycle (retrieval and fresh transfer) was about $9000. Not including medications. I believe our frozen transfer was an additional $2800.

Since this was the last IVF cycle that my husband and I were going to do, and given my age (40) and my previous failed cycles and many abnormal PGS results, we wanted to transfer two of our untested embryos. Dr. Lipari was supportive of this.

I felt like I was more than a number at JCRM. Dr. Lipari took his time to help answer my questions and ease my worries. I was one very anxious patient. He has a lot of knowledge and experience and it shows.

Come to your appointment prepared with your questions and research so you don't leave the meeting thinking "Oh, I forgot to ask this or that."

I was on a medication for 2 IVF retrievals. I feel like the medicine and timing of everything was standard, nothing special or out of the ordinary. I had 19 mature eggs from my first retrieval, 15 fertilized with ICSI. Only 4 made it to blastocyst stage. I was devastated by how much the numbers dropped. I froze all and had pgs testing done (decided upon before cycle started) which showed 3 healthy embryos - all girls. I really wanted at least one boy so I could give my son (currently 4 1/2) a brother one day. I decided to do another retrieval the next possible cycle and this time and only 9 mature eggs were retrieved. 8 fertilized and 3 made it to blastocyst stage. PGS testing revealed I had 2 healthy boy embryos. I couldn't believe my luck. Both unhealthy embryos were girls. I asked about the use of HGH to improve egg quality and ERA, but neither were recommended for me by the Dr. or nursing staff.

Consultation and Ultrasounds - $10 copay each visit with insurance. IVF meds - $4,000 (x2 retrievals) Insurance didn't cover any IVF procedure or medicine. IVF meds for transfer - $1,000 Hysteroscopy - $10 (covered with insurance) IVF retrieval procedure - $8,500 (×2) PGS testing - $2,500 (x2) Frozen Transfer- $1,700 (thank goodness 1 successful transfer so far).

My doctor never really mentioned using more than one embryo at a time. I think we were already on the same page as a given that we would transfer one healthy pgs tested embryo.

Doctor Lipari took the time to answer all my questions and trust me i had a lot of them, gave me a diagnosis and he explained to me the options i have and explained the treatment, pros and cons for each one. I have seen other doctors before and I didn’t feel comfortable with them but doctor Lipari really knows what he is doing which gave me the confidence to continue my treatment.

Write down all your questions before your appointment and when you see Doctor Lipari trust me he will answer all of them.

I did 4 rounds of medication with timed intercourse, we were very close to achieve the objective but since i have unexplained infertility was unsuccessful. Every cycle was different and we did more or less menopur injections depending of how my body was reacting to it.

I don’t have an exact amount since insurance took care of the bill, but they will give you prices on your first appointment.