Main Line Fertility (Prelude Network clinic)

Dr. Glassner is very upfront. He gives you the options with the best chance of success but he will listen to your concerns and discuss why he thinks something is right for you. I felt very at ease with him and I felt like he was really in this with us.

Definitely ask questions and if you are wondering about a treatment or you think something else would be better for you, ask him. He will discuss everything with you and listen to your concerns.

My husband had testicular cancer and we froze sperm prior to his chemo. We had 10 straws of sperm and we are private pay (no insurance for infertility). Dr. Glass we said we could try up to 6 IUIs but we should keep 4 straws for IVF. I was on 100mg clomid cycle days 4-8. Then had IUI. Did this for 3 cycles. For the 4th cycle we did 150mg clomid and IUI. Each cycle we had 4-6 follicles but no success.

$480 per IUI.

NA

Dr Orris is direct and to the point. Being a nurse myself it is something I appreciated. He also was very confident that he would get me pregnant when we first started 4 years ago, and he did after my 3rd iui. I’m glad he was upfront and honest about our problems and the reality of what it would take for us to have a child.

Listen to him, he will be honest and upfront but don’t expect a lot of sympathy

After my first and second cycle we went from just clomid to clomid and letrazole and that is when I got pregnant with my daughter. I responded well to the combination of both so that is what we stuck with for all future IUI’s. The main obstacle for my husband and myself was his sperm motility, he eventually had surgery but it unfortunately did not improve his motility. We are now looking to start ivf

The first time my insurance covered most things. My second time around I paid out of pocket for everything which was very costly and very stressful. Now I have a primary and secondary insurance which makes things more affordable again.

I am in the process of going through the egg retrieval process ( only have done consults and workup testing ). I loved him and his demeanor and hope to one day have him help me with my babies ! I think it’s important for all women to find a doc like Dr. Glassner - it is such an emotional journey, something I didn’t realize at the time . I trust him and his staff completely

Listen , listen to his experience and ask questions regarding what to expect . He is a wealth of knowledge. Also , allow yourself time after your consult to grieve . I’ve always felt young for my age and didn’t realize how much I wanted children and always envisioned it completed traditionally . But , once I absorbed the information - I know it’s the best safety net I can put in place for me !

N/A haven’t gone through the process yet

1000 for lab work ; drs visits were 100 each ( I had progeny )

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I cannot say enough nice things about Dr. Orris. I would never change doctors, even though I have yet to have a baby yet. I truly believe he is our miracle man. He has never left my side, and always knows what to say to keep me positive. You can tell he really cares about you as a patient. I recommend him to everyone who is struggling.

Don’t be afraid to tell him what you’re feeling. He will work with you!

I remember he focused on getting quality from me, rather than quantity. He focused in on me producing healthy eggs. He’s been very thorough with testing to ensure I remain healthy throughout my process. I know I will get my babies because he really is the best their is.

IVF is super expensive, but Dr Orris is willing to work with you on cost to make having a baby a reality

Dr. Orris wants you to have the best chance to not only have a baby, but a healthy pregnancy as well, so that’s the discussion we have always had surrounding transfer. I believe each patient is different, and he has that discussion based on the individual.

I am still in treatment, but I am very happy with all my interactions with Dr. Bloom. She has a great balance of compassion, and being honest about next steps. She makes me very comfortable as a queer person and has constantly validated my relationship and never been phased by my partner and his pronouns.

Ask questions!

In the feminine and cis-het focused world that fertility care is, Dr. Bloom creates a very inclusive and welcoming environment. It is also helpful that she and her wife have been through fertility treatments as well.

I had some insurance coverage. Out of pocket I have spent over $3,000 in 4 months.

They have a donor sperm coordinator who is fantastic and a great asset to their team.

At age 38, I was referred to Dr Allison Bloom for deeper dive into my fertility. From day 1, it was a total nightmare. I have fully normal menstrual history, average egg supply, hormone levels, and physiology. In our first consult, I told Dr. Bloom I had started trying with my partner and wanted to have two kids, so I wanted to make sure there were no issues with my fertility. She immediately told me I should start IVF ASAP and started rapid-firing terrifying statistics about the low odds of getting pregnant during any given cycle, the percentage of decline in my fertility with each year, and I was shell-shocked and burst into tears. She condescendingly told me “hey, don’t cry! Come on! Don’t cry!” as if that would help. The scare tactic worked and I started IVF with her right away. In every meeting she was rushed, distracted, and verbally misquoted my age, details about my health, or details about our fertility plan. To prepare for our first egg retrieval, we worked with a rotating cast of at least ten nurses who would share info back to Dr. Bloom for directions. We had decided to do frozen cycles to stockpiles embryos and in our first cycle we got one normal embryo. This was communicated to us through a lab technician with no context or understanding of our fertility plan or any sensitivity. We didn’t know if one embryo was good news or bad, and when we finally met with Dr. Bloom a week later, she was extremely defensive about being asked to meet and insisted we hadn’t scheduled properly and that she had “other patients who needed her attention.” When we asked for her medical perspective given the outcome of cycle 1, she accused us of having unrealistic expectations, said that she “had told us this wouldn’t be easy,” and made reference to my “advanced age and low ovarian reserve,” which were not an actual response to what we were asking. She said that 1 normal embryo was good news, so despite how rude she was being, we decided maybe she was a good doctor and we should just stick it out with her. On our next cycle, we got zero embryos. This time, the follow up meeting was more of the same, but much worse. She insisted she did not have time for our scheduled meeting and had other patients waiting. Her only medical response to the outcome was to repeatedly name and blame my age, egg supply, egg quality, and general fertility, and once again accuse of having unrealistic expectations, offering no actual insights or encouragement. She also mentioned that we should consider adoption, donor eggs, or other means of building our family. My partner and I were appalled. We got two second opinions—one from another doctor at Main Line, and one from another fertility specialist—and the meetings were like night and day. Both new doctors were thoughtful, considerate, and optimistic about our options. The both said “as I’m sure your doctor told you, we always say that one cycle does not predict another.” We had in fact been told the opposite. Both doctors questioned the protocol Dr. Bloom had used and were quite optimistic about the possibility of other protocols, or simply other batches of eggs, being more successful. We changed doctors and practices to one where a doctor actually paid attention to our specific cycle history, and our new doctor found critical things Dr. Bloom had overlooked: my eggs were not low quality, but they needed an extra day to mature before retrieval. Egg immaturity was something I had specifically asked Dr. Bloom about after our failed cycle, and she had dismissed it defensively. My new doctor paid close attention to this for every following cycle, creating a custom protocol to keep my eggs inside one extra day. My new doctor also learned that my partner had DNA fragmentation, which could be the root cause of our challenge in previous cycle—NOT my eggs or age, as Dr. Bloom had constantly told us. DNA fragmentation was pretty easily addressed, and with our new doctor, we had 2 normal embryos in our first cycle and one normal in our second cycle. Working with our new doctor and actually feeling cared for and paid attention, and getting better results, to has made me realize how truly inappropriate and inept Dr. Bloom was in her treatment of us. I’m sharing this review so that if anyone else experiences the same treatment, they know that there is something much better out there. I would never, ever recommend anyone see Dr. Bloom.

Avoid.

Cycle 1: Clomid, no ICSI. Cycle 2: Clomid, added ICSI

I paid for a bundl fertility package so that the cost of retrievals was significantly reduced.

Dr. Glassner is genuine and very experienced with what he does. He seems to be able to properly readjust fertility plans to get desired outcomes. He’s willing to take a more aggressive approach in fertility treatment. The only downside is that the clinic is busy and if you want to meet with Dr. Glassner there can be long waiting periods.

You may not get to see him as often as you might a physician at a smaller practice, but he has the experience and expertise for more difficult cases. It is worth your while to use Dr. Glassner.

I was offered a more aggressive form of IUI if desired but after learning the risks, we declined and moved onto IVF. Our plan from the start was an egg retrieval with freeze all PGD testing due to my age. Please also note I only have one ovary. Cycle #1 follistim/ganarelix protocol failed-only 2 eggs developed-canceled Cycle #2 follistim/Lupron-8 eggs retrieved/2 made it to blastocyst. 2 frozen. Cycle #3 follistim/ganarelix higher dose/ 11 eggs retrieved/ 2 made it to blastocyst Cycle #4-follistim/ganarelix/ 15 eggs retrieved/4 made it to blastocysts

Some days these appointments went quickly and smoothly while other days they took a while and you were ushered from one waiting area to the next. It really depended on how busy the clinic was.

I believe I was charged 5000$ for retrieval #4, 6000$ for retrieval #3, 7000$ for retrieval #2. Retrieval #1 was cancelled. My insurance paid for some of the monitoring. If you do FET With PGD the first transfer is only 2000$. I believe the ERA was 1,300$. PGD was somewhere around 7000$ with all associated fees.

He highly suggested egg retrieval with freeze all and genetic PGD testing with a later single FET. My husband had expressed his goals of avoiding multiples and reducing genetic risks so this could be why he suggested the above.

Dr. Gocial is someone I would refer a friend to without hesitation. He is empathetic and sensitive to the emotions that this journey may stir. Every visit he will shake our hands and ask us how we are doing. He explains everything in a manner that is easy to grasp and always asks if we have any questions. Like most couples, we never expected to be in this position but we are thankful we found Dr. Gocial to guide us through it.

As with any doctor, don't be afraid to ask questions and advocate for yourself. Dr. Gocial will make it easy for you to do this but don't be too shy to ask questions, no matter how silly they may seem.

We have done one trigger with timed intercourse. We have also done 4 iuis. The first iui I took 2.5mg of letrozole and ovidrel for my trigger. The second iui I took 5 mg of letrozole and ovidrel for my trigger. The third iui I did 5mg of letrozole and 2.5mg of clomind and ovidrel for my trigger. The fourth iui I did 5mg of letrozole and 75ius of follistim and ovidrel for my trigger. None of these protocols resulted in an positive pregnancy test. We are currently in the stimulation phase of ivf. We are doing 75ius of menopur and 225 ius of follistim.

Iui was covered by my insurance and I am not sure of the break down of the costs. IVF is not covered and all in, including PGD, it is approx. $18,000-20,000.

Dr. Gocial and Main Line Fertility do single embryo transfer as they want to minimize the risk of multiples. This is not an issue for us and are thankful for their caution.

Strengths: He represented himself as wanting to take an "aggressive" approach (he used that word a lot), and that sounded appealing to us. I wasn't getting any younger and we just wanted to hurry up and have the kid already. Weaknesses/things that were not to my taste: As I said before, he seemed to take somewhat of a generic, impersonal approach to our case. He talked about getting me pregnant rather than getting me a live birth (my problem was/is multiple miscarriages and I felt he was not paying attention to that). He did not ask any particulars about the past miscarriages and did not seem to think that any details were relevant. He adopted a very masculine/"bro" attitude toward my husband; maybe other men like that or feel it addresses their insecurity around infertility treatments but we thought it was weird. He informed me what we were going to do (medicated cycles, combo of clomid/letrozole), rather than advising and explaining a course of treatment. The first cycle (clomid + timed intercourse) did not work. The second cycle when I came in shortly before ovulation, he informed me (rather than suggesting to me) that we were going to do an IUI. When I expressed some hesitation, saying that I'd heard success rates were not much higher than timed intercourse for people with my medical history, he retorted in a snappy tone of voice, "Fine, then don't do it." And turned away and started ignoring me. I finally agreed to the IUI but I felt like I was bullied into it. It didn't work anyway. For the first time in my life I was having trouble getting pregnant--when I had come to him not for help conceiving but with figuring out what was happening with my miscarriages. The following year, I went back to MLF for monitoring on a new pregnancy (that we conceived on our own, not with their help) and ended up seeing him a couple times during that period. First, he gave me false hope when Dr Glassner had been telling me to prepare for another loss; when it finally ended in miscarriage again he came across as cold and unsympathetic. He scheduled me for a D&C--did not ask my opinion or preference--and again started talking about "getting aggressive". I let him do the procedure but I will never go back to him after this.

Stand up for yourself and don't be afraid to ask questions.

1st cycle--100 clomid 2nd cycle--150 clomid, 5 letrozole He was pretty dictatorial and didn't describe rationales, other than being "aggressive"--his favorite word evidently.

My insurance doesn't cover IVF but does cover other infertility procedures, medications, etc. So I just had a $35 copay with each visit

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Although we have still not been successful, I have been very happy with my treatment to date. Dr. Gocial always listens to my concerns with compassion and presents options to consider. I appreciate that I see him often during each cycle so I have the opportunity to ask questions when needed.

Advocate for yourself, but try to place some trust in the care team as well.

Our first cycle with Dr. Gocial was a medicated IUI with letrozole. This resulted in a pregnancy that was unfortunately lost at 8 weeks. Dr. Gocial performed a D&C and additional follow up testing including a hysteroscopy. Our second cycle was another letrozole IUI. We needed to adjust dosing during this cycle to better my response. Currently we are in our third IUI cycle and combined both clomid and letrozole.

IUI is covered by our insurance with a $30 copay. Medications aside from. The HCG trigger shots were also covered. Triggers cost $70 each. Each office visit was subject to my specialist copay fee of $60.

Although I do not see Dr. Glassner each time, when I do he is very open and honest about the route of treatment and what needs to be done. While he is clear on the information he gives, he does so in a way that makes the patient feel comfortable. He seems to understand this process is emotional and caters to that when discussing treatment, issues, etc, with his patients.

Ask all the questions you want. Do not be afraid to voice your opinion or clarify something you do not understand.

I began this process over a year ago so far I have been through a lot of testing and diagnosis. This includes, 1.) the clomid challenge in order to see if I was able to grow more follicles (it worked, I grew more follicles) 2.) Tons of bloodwork to test my cycle and how I ovulate 3.) Ultrasounds (internal and external to check the status of my uterus and follicles (showed that I responded well to the clomid) 4.) Hysteroscopy to see how viable my uterus is (which they found a fibroid in the uterine cavity and I then needed to have a hysteroscopic myomectomy), 5.)HSG which tested for block fallopian tubes (which we learned my remaining tube is blocked. I had one removed in 2009) 6.) 1st cycle if IVF up to egg retrieval 7.) Embryo freezing 8.) FET cycle in about 2 weeks.

Medication, bloodwork and office visit copays, surgical copays, anesthesia copay, IVF costs for procedure and medications

Dr. Gocial made my partner and I very comfortable. He provided recommendations and listened to our concerns. He offered medical and personal suggestions in a very professional but compassionate way. He also responds very fast with recommendations when it comes to diagnostic test results.

Ask questions

So far, we have only gotten through the diagnostic testing portion. I was started on Metformin, synthroid and vit d because of my levels. It’s been about two months and I feel great. Now we are just waiting for the office to open back up.

Dr. Glassner is very straightforward when he speaks. He is not the type to beat around the bush, he is gets straight to the point (which I prefer). My experience so far has been great. I am not the type to be sad about my situation, but rather eager to find a solution. Dr. Glassner had the same feeling and is eager to find a recipe that will result in a healthy baby.

Be ready with questions and write them down. He can be speedy when answering questions but don’t hesitate to ask him to slow down and repeat. Also be ready to have an idea of what route you would like to take (IUI, IVF, medications). On initial consult he presented me with a variety of options, percentages of success with each option and then asked me what road I would like to take.

Because my initial consult was around the same time I was starting a new cycle, I had the option to start treatment immediately. i was prescribed 100mg clomid and 1500 mg metformin. Unfortunately the resulted in potentially 8 mature follicles and the cycle was cancelled.

So far no cost since I have only done an initial consult and had a cancelled IUI cycle.

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Although we haven’t had the results that we wanted, Dr. Gocial is amazing. He is always so open and thorough with explaining everything that is happening in our process. When we think something isn’t working, he changes the course of our treatment to try and find what will work best with our circumstances and budget. He has never pushed us to do something we cannot afford, which is not much the past 2 years.

Ask as many questions as you need to, because he will answer everything honestly and thoroughly.

First Fertility Cycle: letrozole 2.5mg and timed intercourse. Resulted in: negative pregnancy test. Second Fertility Cycle: letrozole 5mg and timed intercourse. Resulted in:negative pregnancy test. Third Fertility Cycle: letrozole 7.5mg and timed intercourse. Resulted in: negative pregnancy test. Fourth Fertility Cycle: letrozole 5mg and clomid 100mg and timed intercourse. Resulted in: negative pregnancy test. Fifth Fertility Cycle: letrozole 5mg and clomid 50mg and timed intercourse. Resulted in: negative pregnancy test. Sixth Fertility Cycle: letrozole 5mg and clomid 100mg and timed intercourse. Resulted in: negative pregnancy test. Seventh Fertility Cycle: letrozole 5mg and clomid 100mg and timed intercourse. Resulted in: chemical pregnancy. Eighth Fertility Cycle: injectables (gonal-f 125 IU/daily) and IUI. Resulted in: negative pregnancy test. Ninth Fertility Cycle: injectables (gonal-f 125 IU) and IUI. Resulted in: negative pregnancy test. Tenth Fertility Cycle: letrozole 10mg and clomid 150mg & Timed Intercourse. Resulted in: negative pregnancy test. Eleventh Fertility Cycle: letrozole 5mg and clomid 150mg & Timed Intercourse. Resulted in: negative pregnancy test.

With my insurance, only appointments, bloodwork and ultrasounds were covered. I had to pay for my copay at appointments, and I had to pay for the IUI’s Out of pocket.

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Dr. Gocial was always available to us. I I like the small office feel where you don’t feel like just a number. There were times where he would forget minor details about our treatment and that could be frustrating but all in all I would recommend him. He is very sympathetic with what we are going through and never minimized our feelings.

Just be honest with your goal and time line and vocalize when those goals may change. He is very understanding and won’t waste time and money but we asked to start slow with treatment and he was great with that as well.

We started with medicated cycles. We did rounds of letrozole, letrozole plus clomid and just clomid all with timed intercourses Then we did letrozole and clomid with one round of iui. No success and now are at a stand still with COVID-19.

I do not recall

Dr. Minassian is incredibly knowledgeable on all aspects of the fertility journey. From day one he told me he suspected it was MFI but we would do all of the necessary steps to make sure I wasn’t an issue as well. All of my previous doctors told me to not bother getting tested, so I had a growing anxiety that something may have been wrong with me. Dr Minassian truly cared about getting to the bottom of the issue. He asked me what were my goals and then got right to work. He wasted no time in getting my tests done and moving on to my egg retrieval. He made sure to review my blood work every single day, and to call me and let me know that my reserve looked great and I was on a good path. He called me and explained the entire IVF and PGT testing in depth and really made me feel respected and appreciated. I am so thankful to him and know I am in the right hands once my transfer finally comes around.

Do your research and go in with questions. He doesn’t hesitate to answer questions, you are better off asking things you may be unsure of. The entire IVF process is daunting, and it’s better to ask a trusted professional then just be left in the dark.

Due to my age and my fertility health, we did standard protocol. My baseline follicle count showed 21(age 32) and I had no endometriosis or any blood work issues, my tubes were open. We concluded it was MFI and so I did 150 units of menopur and follostim every night, I started ganirelix on day 5 of my cycle. He originally suggest that I use pregnyl as my trigger shot but upon seeing my blood work results closer to trigger shot time, he suggested changing it to Lupron because my estrogen levels were around 4300. He made sure to have my nurse explain to me why we were switching to lupron and that it would leave my system quicker. Upon egg retrieval day, we got 18 eggs and 15 of them were mature, so I would say the protocol was very successful and right in line with what he wanted. 9 of those eggs were fertilized(again, mfi so im grateful that any of them did) and 4 of them became day 5 blastocysts with 1 day 7 blast(5 total) they are currently out for PGT testing.

Scheduling monitoring appointments was really easy. This office runs so smooth and knows exactly what they are doing, I never had to wait very long at all. I would schedule them usually first thing in the morning and be in and out within a half hour with blood work and ultrasound done each time. They would call me each afternoon to go over results after Dr Minassian reviewed.

I had to pay for everything out of pocket. Unfortunately my insurance did not cover anything, but Dr Minassian did specifically ask me about my insurance when I went in for my consult. As a previous medical office employee, I’ve never had a doctor take my insurance into consideration at all so this was a nice surprise. I did receive a main line fertility discount for my prescription meds because I used their pharmacy. This is not a doctors office problem but an insurance problem. Insurance needs to take fertility a lot more seriously so that women of all kinds can have the chance to have a family of their own.

No comments yet as I am not yet at that stage

He was kind but to the point. He expressed his concerns. Gave detailed description of the procedures that need to be done. Treated myself and husband with respect. And at the same time had a sense of humor which made us feel comfortable.

Don't be afraid to ask questions, he will answer to the best of his ability. He's great.

We just had 2 consultations with him. Blood work, semen analysis done. Next up ultra sound and hystroscopy and biopsy.

Friendly, but states things honestly and up front. He always used my name and answered any questions that I had. He made me feel comfortable when I was extremely nervous to have a Male doctor. He has definitely met my expectations and exceeded in excellent patient care

Ask questions and be sure to be involved in the decision process

We did clomid and a trigger shot. Then did an iui. It worked but miscarried

Most of it has been covered by my insurance except my husband's chromosome testing

He mentioned the multiple embryo transfer when we do ivf

Dr. Brasile is intense, straightforward, blunt, and quick with her answers and information. This can be off-putting to some. I would not say she’s for you if you prefer to be coddled and shielded from hard truths. I’m fairly sensitive, but I found her demeanor to be 100% the best thing for me in this very specific endeavor. I needed to be told “this is the problem, these are our options, this is our plan..let’s go!” And while she was not at many of my appointments, she was available via phone and left me in the hands of the best care team ever.

Ask all of your questions, and take notes. She doesn’t know what you understand and what you don’t. It’s a LOT of information and having it come at you all at once, kind of quickly, with IVF language and all that’s involved, it’s easy to walk out of a consultation overwhelmed and with even more questions. She never rushed me out of an appointment..she answered any and all of my questions no matter how long I took.

Dr. Brasile mentioned that they often start with Clomid, but in my case, dealing with male factor infertility, we’d skip that as it did not seem necessary. She had my hormones and thyroid checked, and I did in fact need thyroid medication to give it a boost. Dr. Brasile did 2 different hysteroscopies to check for polyps or other uterine issues to ensure my uterus was healthy and free of anything that could cause problems with my eggs/retrieval/transfer. We did one round of hormone injections and egg retrieval, only to come back with one little embryo. She suggested another round of hormones and egg retrieval, which we did, and were able to add two more viable embryos to our bank. We chose to freeze and do genetic testing with our 3, and came back with the news of one healthy embryo to transfer. My regret was not getting more information on what exactly was off about my other two embryos. Fortunately Dr. Brasile’s protocols are what gave me one very healthy, happy baby boy.

I did ask at one of my appointments with the care team, if I was able to transfer more than one embryo. They said that they do not normally do or recommend that, which I was disappointed about. But it was also something that I could discuss with Dr. Brasile. At the end of the day, I only had one embryo to transfer, so it didn’t affect me. But if I had two, I would have pushed for both to be transferred.

Dr Brasile started treating my husband and I over a year ago. We have done medical treatment x3 , IUI x3, IVF x2, and FET x5. Throughout our process she has always been honest but more importantly she was compassionate and kind. Throughout our struggles there have been lots of ups and downs. We appreciated all she has done for us and couldn't have chosen a better doctor.

You're in great hands!

1. First cycle I was on clomid. Ovulated 3 eggs. Was told when I was ovulating via ultrasound and bloodwoork. Took Crinone until negative pregnancy test. 2. Second cycle took clomid and letrozole. Ovulated 2 eggs. Negative postcoital test. Did IUI based on ovulation monitored by bloodwork and ultrasound. Took Crinone. Negative pregnancy test. 3. This cycle took clomid and letrozole. Ovulated 1 egg based on blood work and ultrasound monitoring. Took Crinone until negative pregnancy test. 4. Fourth cycle took injections. Clomid, Gonal f, cetrotide, and trigger shot. Ovulated approximately 5 eggs. Did IUI based on ultrasound and blood work. Took Crinone until negative pregnancy test. 5. Took 1 month off 6. This month just took Letrozole in anticipation of possibility of IVF the following month. Monitoring of ultrasound and blood work. Ovulated 1egg. Took Crinone until negative pregnancy test. 7. September 2017 we did IVF. Was on Gonal F, cetrotide, and low dose Hcg. We had 40 eggs retrieved, 19 fertilized, and 11 made it to blastocyst stage on day 5 for all freeze. Dr Brasile recommended all freeze so that my body could recover. I did not have OHS. 8. October 2017 we did FET. Was started on Estrace 2 mg/three times per day and baby aspirin. Monitored via ultrasound & bloodwork. When lining was greater than 8cm - FET was scheduled. 5 days before transfer I was placed on medrol dose pack, PIO shots, Crinone, estrace, and baby asprin. Transferred 1 blastocyst and went on 24 hour bed rest. After transfer continued on medications until negative pregnancy test. 9. November 2017 same protocol. Only change was 1 10 mg Valium prior to FET. December got BFP after 2 week wait. Continued on PIO and Crinone. Ultrasound and bloodwork weekly. At week 7 no heartbeat. Diagnosed blighted ovum. 10. Did rush PGS testing in March prior to our 3rd transfer. Transferred on PGS normal embryo with same med protocol as our prior FET. BFN after 2 week wait. No remaining embryos from 1st retrieval. 11. In June did a second IVF retrieval. Was on Gonal F, cetrotide, and low dose Hcg. Retrieved 22 eggs, 9 fertilized, 4 ended up making it to blast stage and being frozen after PGS biopsy done. PGS testing revealed 2 normal, 2 abnormal. 12. In July we did FET. Was started on Estrace 2 mg/three times per day and baby aspirin. Monitored via ultrasound & bloodwork. When lining was greater than 8cm - FET was scheduled. 5 days before transfer I was placed on medrol dose pack, PIO shots, Crinone, estrace, and baby asprin. Transferred 1 blastocyst and went on 24 hour bed rest. Added Lovenox to medication regimen every night. Continued on medications until negative pregnancy test. 13. Did an ERA cycle based on Dr. Brasile's recommendations that revealed that I was 24 hours pre-receptive. 14. In September we did the same preparation for a FET. The only change was I took 24 hours more medication prior to transfer to correct for my ERA. Took Lovenox after transfer every evening until negative pregnancy test.

Various costs associated with meds ranging from $15-$2,000 per cycle. IVF $8,200 plus the cost of medications. FET $3500 plus the cost of medications. PGS testing approximately $3500.

Agreed with her recommendation on single embryo transfer.

Dr. Brasile is very knowledgeable and compassionate. She is has a confident plan of what she thinks is the best treatment which is helpful to when this is all overwhelming. But she also is willing to talk through questions or other treatments and if there is something you would prefer she is willing to change course as long as it is safe.

Don’t hesitate to ask questions. She can seem decisive in what her plan is, but she will talk through every option and the pros and cons.

I started with letrozole with the plan to shorten my cycle for timed intercourse because of a travel plan. It actually lengthened my cycle and didn’t work. Then I did a cycle of clomid with timed intercourse and possible IUI. I was seen by a PA for my post cloital and she said we didn’t need the IUI. Dr. Brasile later said she probably would have done the IUI that cycle. Then I did high dose clomid with IUI and had a chemical. Then high dose clomid with IUI and BFN. Now on hold from COVID

My treatments to this point have been mostly covered by insurance.

I am very impressed with Dr. Orris and his setup at MLF. His resident, Dr. Kurtz, was super helpful and he was there along the way to help administer any advice or diagnosis. I am so thankful that my experience with infertility was handled by the folks at MLF.

Don't be afraid to ask questions as everyone there is always happy to answer them.

Due to my PCOS and anovulation, I was put on rounds of Clomid and Letrozole to induce ovulation. I would be seen at least once if not twice a week to measure my progress and to see if ovulation was occurring. Once they were comfortable with the ovulation taking place, I had two cycles with IUI that didn't time up properly. On the third and final cycle, I took a booster shot to ensure the timing was correct and luckily got pregnant on the third try.

Don't remember specifics, but luckily with insurance, costs were minimal compared to what we were expecting.

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Dr. Brasile was very aggressive with my treatments. We went straight to IUI based on tests from my previous clinic. I was able to see her at every visit and she made time to talk with us whenever needed.

She is direct, which I appreciated.

The IVF process went very quick. It felt like a total of two weeks and then we were doing our transfer. I gave myself shots 2x a day, plus progesterone every other day.

I always had a morning appointment and I was in and out quickly. I don’t remember any specific days that there was a backup.

We had to pay out of pocket for everything but medicine, but we had a first responders discount.

The office recommends only one embryo transfer for a person my age. I didn’t have a preference either way. We ended up with only one embryo, so that’s what we went with.

She is a very “no nonsense”? Get straight down to business personality. I believe she is very knowledgeable, but she never asked me how many children we would like to have. We just went straight to IUI, the 1st try failed and I am in the TWW for my 2nd IUI now.

She’s not the right doctor for a timid patient. She will not ask you if you have questions. I suppose she just assumes you already know what she’s talking about.

100 mg Clomid for 5 days for my 1st IUI cycle with monitoring and timed IUI. I have no idea why she chose this course. 2nd IUI I did 150 mg Clomid for 2 or 3 days then 100 mg for the remaining days (5 days of Clomid total) with a trigger shot (7500 Novarel) for IUI because my fiancé went out of town. Booster of 2500 Novarel a week after initial shot to potential improve success. I am in the TWW now.

My iuis have been covered by insurance so I’ve only had to pay for meds so far. I purchased the trigger shot Novarel for $140 at my clinic. I also have to pay $40 copay every time I walk in the door, even for bloodwork.

We have not done ivf at this time.

Dr. Orris is very open, clear, and honest. We knew what we were going to get from him and we knew when it was a risk for us to proceed that month even if the numbers were there. He was very honest with us, but let us make the decisions. He told us from the beginning that with the numbers ivf may be the best but we didn’t want to jump right to that and with us being young he was excited to try to explore different options. Easy to ask questions and you knew you were going to get a real response from him.

Don’t be afraid to ask questions and be honest with where you are at

Strategy was to try and get husbands count up and increase motility. He had him on different vitamins to help increase this. We did do clomid at least once but the main course of action was IUI. Most of the time my husbands count was still low and motility was low but my husband and I decided to proceed even knowing it was a low risk. There were a few tests my husband took when count was looking better but we decided to take a break (financial reasons) when we knew IVF was next option. We were told about different trials we could sign up for but did not

I do not recall. I remember paying a $200-300 for IUI. The pre-work labs were costly. They were honest about some that were not necessary but optional so we did opt out on a few.

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