Missouri Fertility

I'm not sure how to describe Dr. Wilshire, he's his own person. He is blunt and honest but also compassionate. He has a humorous side when trying to explain treatment options such as thinking of it like a buffet with cheeseburgers being you Clomid all the way up to lobster with IVF. He shows he cares about his patients and even hugged me after the second pregnancy loss. He truly is passionate about his work.

Each person is different and their fertility journey is different. There's not one piece of advice I can give. Knowing what I know of I could do it all over I wouldn't have waited so long to seek his services. I would have pushed for more testing including his bumper to bumper surgery sooner than he scheduled it. I would have had more in depth conversations about my options. Don't be afraid to ask questions because he will be honest and explain things on your level.

The first thing Dr Wilshire did for me was blood work as well as semin analysis for my husband and requested I eat high fat and low carbs. My first cycle after testing was Clomid, IUI, and progesterone suppositories with ultrasounds to monitor the follicles. This was unsuccessful. The second round was the same which resulted in a chemical pregnancy. Dr. Wilshire then sat down with us to review treatment options. We changed to Follistim with increased ultrasounds, IUI, and progesterone suppositories. After a couple failed round he met with us again where it was decided to do an exploratory surgery he refers to as bumper to bumper. This surgery did not yield any answers from me or end up changing my treatment options as I continued to be unexplained infertility.

If i remember correctly it was around $235 for the IUI procedure and what they do with the semin for cleaning and such. Each ultrasound was about $110 or if blood work was also needed then together with the ultrasound close to $170.

Dr. Wilshire can be a bit wild with his jokes and responses. We were always comfortable with the joking, but it might not be to everyone's taste. He is a straight shooter about my situation and I feel like he takes my symptoms and gynecological history more seriously than any other past doctor. Instead of discouraging me from reading about options, he respects the knowledge I bring to the table and responds on that level. He also did a good job explaining things in a plain-spoken way for my husband. He is optimistic without giving false hope. I am confident that he stays current in all the trends and research and responds to that when appropriate.

Go in to your visit with Wilshire knowing that he is very jokey. He is very open to questions or challenges about why he recommends something, so feel free to ask him anything. Infertility can be really depressing and sad, and Dr. Wilshire absolutely understands that, but it can also be helpful to laugh through the process and he leans into that. But he is dedicated to his patients. He is aggressive in treatment because he wants you to have a successful pregnancy sooner, so do some thought before you go in about what level of treatment you are ready to take on and what pace you want to take.

So far, I've had six attempted treatment cycles. Cycle One - Clomid + IUI: 50mg clomid on days 3-7 with HCG trigger (pregnyl). I had one follicle at time of trigger. IUI 36 hours after trigger. Ultrasound two days after IUI showed the follicle never ruptured, no pregnancy possible. Cycle Two - Clomid + IUI: They increased to 100mg clomid on days 3-7 since I did not ovulate in cycle one. Two mature follicles at time of trigger (pregnyl). IUI 36 hours after trigger and ultrasound confirmed ovulation the next day. Progesterone suppository 2x/day for 14 days was used to encourage implantation. Negative pregnancy test. Cycle Three: I took 100 mg clomid days 3-7 and was planning to do trigger after ultrasound showed one mature follicle, but I had an allergic reaction to an antibiotic I took for an unrelated MRSA infection, so I cancelled the IUI. Did not ovulate on my own (despite mature follicle) until over a week later. Cycle Four: I took 100 mg clomid on days 4-8, but ultrasound on day 11 showed ovulation had already happened. Period started six days later. Cycle Five - Letrezole + IUI: I asked to switch to Letrezole since I'd only had only one good response to Clomid. I took 5mg Letrezole days 3-7 and had one mature follicle at time of trigger shot (pregnyl). IUI ~24 hours after trigger. Progesterone suppository 2x/day for 14 days was used to encourage implantation. Negative pregnancy test. Cycle Six - Letrezole + IUI: Same protocol as cycle 5. Triggered with ovidrel for this cycle. One mature follicle at time of trigger. Progesterone suppository 2x/day for 14 days was used to encourage implantation. Negative pregnancy test.

My IUI treatment cycles were about $850 each. Each ultrasound (included in the 850) was about $130. I don't believe the IVF consult had a cost, but initial consult was under $100, I believe. The trigger shots were $100 each, progesterone was about $60 each cycle. Clomid and letrezole were very cheap. They charge $15 to give you the trigger shot at the office. For IVF, we've been quoted $15,000 for IVF with one transfer included and $6,000 for the genetic embryo testing. Additional frozen transfers are $300, if I remember correctly.

I am only just starting on an IVF cycle with Wilshire, but I came into our IVF consult with a strong preference for minimizing the chance of multiples. He seemed very affirming of my preference to only transfer one embryo at a time (assuming we have embryos!). Because we decided to do pre-implantation genetic testing and my age (29), he encouraged the single embryo transfer.

At the initial consultation he went in depth about pcos (in comparison my gyno just gave me a pamphlet) and all the treatment possibilities. He explained how he’d like to start, which would be not as expensive or as invasive to me and would be likely to work. He said it would be beneficial to lose 10 pounds but I was alright to do so during treatment (he said many people need to lose significant amounts before even starting and tells them so (he’s frank and honest and wants people to succeed and do what’s necessary on their part to help succeed). I lost 30 pounds (after being told just 10 would be great) and that cycle worked and before we did the ultrasound to confirm a baby he walked in saying he noticed my weight loss and let’s see if I was being rewarded. (That made me feel proud and I agreed that’s kind of how I felt I was being rewarded for hard work). When our first cycle didn’t work he was confident and encouraging. When the second worked he was so happy for us. We knew we would be back. The second time around he wanted to do everything the same to hopefully get the same result (another baby). When it didn’t work he again was still upbeat. The second time resulted in twins and he was realistic telling us to be “optimistically cautious”. (He was that way a little bit the first time but much more so this time with identical twins). He even explained his treatment plans had nothing to do with identical twins and we were just lucky. Both times when we were released from their care he was so warm and excited and encouraging.

It will be one of the best decisions you make for your family. Follow his advice.

Iui with 5 days of clomid on days 3-7.( to grow the follicles) Pills to induce a cycle (I have no periods) Hcg trigger shot 36 hours before iui when follicles are ready after ultrasounds (I don’t ovulate). Round 1 resulted in period. Went right off of this and on day 3 upped the clomid to 4 pills at a time. (Lost 30 pounds by this point). Triggered when follicles were ready. (Several ultrasounds to check on their size and see how many- I had 2 that were17-22) Iui with husbands sperm. He gave sample and 2 hours later was the Iui. 13 days later positive test. Bloodwork on day 14 and 16 great. 1 healthy baby girl. 10 months later we returned. Had to be done breastfeeding. Did a pack of birth control to set cycle (had no cycle prior to this). Did the same exact protocol as with our pregnancy last time (except started with a month of birth control) Did not work, had period. Repeated this protocol (minus the birth control) (was told if this didn’t work and no longer responded to this dosage I may need to do injectable drugs instead since I was already on a very high dose of clomid). (I lost 10 pounds by this round). Had 3 follicles measuring well. Triggered. Iui. 13 days later positive test, 15 days good bloodwork, 17 days also. 6 weeks ultrasound showed identical twins (Mo/di), boys. Explained the meds work better when you are at a healthier weight so I always tried to lose weight and be healthier.

2 iui cycles with 3-4 meds (clomid, hcg trigger, progesterone suppositories, birth control, etc) and several ultrasounds and blood draws , sperm preparation and the iui cost us about $2,000 both times so about $1,000 per cycle. (We did 2 cycles per “try”, with the 2nd cycle resulting in children (1 singleton in 2017and 1 set of twins in 2019) both tries).

Dr. Wilshire always seems happy to see my husband and me. He has been there for us through a number of experiences. He was able to diagnose my endometriosis as well as provide us with an amazing opportunity to undergo IVF. He also guided me through a miscarriage that I had in between that occured at a time that my husband was not able to come in due to the pandemic. He may have been blunt at times but that is okay, I don't want anything sugarcoated when my particular situations have been relatively severe or serious.

If you think he can help you, do not delay. Get your appointment scheduled ASAP.

With IUI we used Clomid, 100mg/day for 5 days, because that is generally the first prescribed medication used. I responded well to Clomid, but all of my IUIs were unsuccessful. With IVF, we began with 375IU of Gonal-F but ultimately that cycle was cancelled due to poor response. With my second cycle, we upped Gonal-F to 600IU and added in some Menopur and Ganirelix. This round seemed to respond better but even so I only had 5 follicles, and 3 ended up being empty. Total of 2 retrieved, 1 being immature which did not mature in the lab. Ultimately ended up with 1 embryo.

Costs were as expected and we only paid for what was due for the services provided that specific day. There is information on the website we well as YouTube channel on prices of IUI vs. IVF.

Dr Gil is as blunt as you can imagine. Highly knowledgeable and compassionate, nothing takes him by surprise. There’s always a plan if one doesn’t work. He explains every question using a lay man term, attends to every concern and ensures that we go home knowing what his plans are.

Be ready for his bluntness. He calls a spade a spade.

He ran series of tests to know if my prolactin level is within normal range, check if I’m immune against German disease and others I can’t remember. He started me on clomid with instructions on when to start, when to test for ovulation, when to have sex, and to just be on the lookout. He told me I should tolerate clomid well, but if I don’t, I shouldn’t hesitate to call him. I ovulated and followed all instructions as laid out, and got our first positive pregnancy test.

I can’t remember

I’m yet to get to this stage

Dr. Wilshire has always treated us with the utmost respect. He has been open-minded and very positive. After my procedure, I felt like I was put on the back burner to focus on my husband. I don’t feel like my issues were completely resolved but I’m happy with how he said things looked going forward. He tries very hard to be optimistic. He is also straightforward with his results, data and specifics.

He is very straightforward, genuine and wants you to conceive a child as much as you do.

PCOS- changes in diet and exercise regimen, laparoscopic surgery to remove cysts and to do a bumper to bumper examination, clomid for my husband’s low count and referral to a urologist who specializes in male infertility. IVF beginning in May 2019.

$50 per visit, $3000 for surgery and outpatient services, $15000 for upcoming IVF.

Dr. Wilshire can be very blunt and too the point, which I can appreciate in this kind of situation. However, I do not feel that he is open minded to adjusting treatment and retesting based on changes in patient condition or concerns. He is very skilled and knowledgeable, but seems rigid in care. I was also frustrated because i had to order excess medication because they were unprepared for how my ovaries would react to the IVF meds.

Don't take it personally, he is just giving you the facts.

for all of my IUI's we used a 5 day clomid regimen to produce 2-3 follicles, and a specifically timed insemination in conjunction with hcg injection. I cannot remember the exact medications and order of receiving them for my IVF cycle. But when I originally researched it, it was seemed to be based on the same protocols of many skilled fertility centers. I do know that I was taking IM progesterone, which I became allergic to around my 5th week of pregnancy, right after switching medications is when I MC. It should be mentioned that I asked for an alternate protocol with higher dose steroids for longer period of time because of immune concerns, and was dismissed.

I'm not really sure because they didn't review my insurance right before we started, so I want to say the total amount before the review was 14,000 with meds and icsi and freezing. However after they took my new insurance into account the cost was around 6,600. Then there was a little less than 6,000 for PGD testing.

They did a very good job of explaining why this is the preferred method for transfer.

He is a very busy doctor. Doing surgery and ivf takes him out of the office a lot. When we talked to him though he does not speak to fast and allows us to stop him and ask questions whenever we are confused.

He can be blunt and he is not afraid to give you any bad news. I truly think he wants each and every patient to have a child.

Since we already had several tests performed by prior doctor he went over file with us. Started a course of action to do a few iui and if not pregnant go in for surgery to see if endometriosis exists. Once through surgery he wanted to do a few more iui. We have since decided to move on to ivf. Started iui with clomid and last 2 cycles have been with injections of folistim. We moved on to IVF and completed one egg retrieval. Egg numbers were higher than average and at the stage of freezing we were left with 6 I believe to send to be genetically tested. The first transfer we did two embryos, 1 implanted but miscarried. No explanation as to possibly why. Next transfer using last embryo nothing was changed protocol wise. Same results. Asked him about possible egg quality issues or other tests that could be done. Essentially he said no. And we should just get a hold of him again when we want to do another retrieval and ivf cycle.

Some of the services were covered under insurance. Not sure of their original prices. 63 for trigger shot. 125 for semen collection and washing. 600 unit of folistim is $420.

He prefers to do single transfers. Our first transfer we did two and at multiple steps he always wanted to make sure we knew two could mean twins and make sure we wanted two.

He is very passionate and truly wants to see you succeed. He has personal experience with what you are going through and truly rejoices and feels the hurt each time you do. We had three miscarriages and each time we knew he was truly sad with us.

It was hard to know the cost of everything. That is more to do with insurance and not necessarily their office. They do their best to give you a worst case scenario so that's what we planned for.

1st child: We had already done clomid before. So we started off with Wilshire doing injections with folistim and IUI's. After about 4 we did and exploratory surgery and them 2 IUI's to get preganant with our first child. 2nd child: We did several IUI's and then had 3 miscarriages. Took a short break. Did another clean out surgery and then a few more IUI's. Then we had out 2nd child. Last set: We did three IUI's woth injection s and got pregnant with twins.

Injections with iui was around $1000-$1300 per month depending on what insurance covered.

Dr. Wilshire can come across as a little abrasive at first but he is absolutely hilarious. He never made me feel uncomfortable. He and his wife struggled to conceive himself so I know he has empathy for the situation his patients are in. He was willing to work with what we wanted, but did suggest things. The chances of me getting pregnant were really small because of my low egg count. He didn't give up even with the 4 IUIs and 1 chemical pregnancy resulting from our first trial of IVF. After that happened he had us meet with him in his office (no charge for visit) to make sure we were doing ok, what his plan was for us moving forward and even talked about what could have gone better.

Trust Dr. Wilshire. He has a reputation of getting people pregnant for a reason. Every woman I know who has needed help conceiving in the greater Columbia area has gone to him. Dr. W says that after you leave his office after getting treated you will be a better person, and it is true.

With IUI- 3 trials of Clomid with trigger shot to ensure ovulation and 1 trial of injectables (follistim) with trigger shot. With IVF-Follisim to increase my number of eggs, menopure, ganarilix before retrieval. Retrieval occurred under sedation, fresh transfer of 2 embryos resulted in chemical pregnancy, frozen transfer of last 2 embryos resulted in singleton pregnancy which I am currently in my 11th week of carrying! No real adverse reactions to meds. After frozen transfer I was put on estrogen and progesterone suppositories as well as progesterone injections daily which were not bad.

I think total costs for IUI were around 400-500 per cycle. IVF in total was around 15000. Some was covered by insurance

Dr. W would not put in more than 2 unless the quality was very poor. He said putting in 1 is the world standard now, but we went with 2 because we were ok with the chance of multiples

Dr Wilshire was very relatable due to the fact that he struggled with infertility as well. He took time to explain everything and all of our options. He made us feel hopefull but also informed of the not so good possible outcomes.

Make sure to do your own research and advocate for any tests or bloodwork you would like done

In 2014 We completely a Laproscopic surgery to diagnose and remove my stage 3 endometriosis. We coukd not afford IVF so Wilshire explained IUI to us as well as the cost. We were given several options as far as medications we could use and chose the cheaper option to begin with which was Clomid. When clomid failed for the 4th time, we moved onto Gonadotropin injections, with another IUI but unfortunately it failed also. Dr wilshire explained how important weight and a healthy lifestyle was when dealing infertility so I decided to take a break from treatment and get healthy. I was able to loose 40lbs and concieved naturally in 2016 but I miscarried at 10wks under Wilshire's care. He preformed a D&C and then shortly after he completed another Laproscopic surgery in the beginning of 2017 to remove the endometriosis that had grown back. We completed a 6th IUI with injections but unfortunately it failed. Wilshire has since reccomended IVF so we are currently trying to save money for IVF.

One medicated IUI costs around $700-$1000 depending on medication and how many vaginal scans were needed or reccomend which cost $120 per scan. Injections cost $600 and Clomid cost approximately $15.

Dr. Wilshire went through both mine and my husbands medical histories. He suggested that I may have PCOS. Upon doing the first US, a nurse did it, but Dr. Wilshire stood behind her and explained everything to us and I did in fact have PCOS. He laid out our treatment plan and told us we could start right away! He was very nice and compassionate during the whole process. Unfortunately we didn't see him at all during our first cycle as he was out for surgery on his shoulder. But we saw him at the very next cycle.

Ask lots of questions

US on cycle day 3, start clomid 100mg for 5 days immediately. Return for US 8-9 days later to see lining and follicles. Then a HCG trigger shot. Timed intercourse night of shot and after IUI. IUI 36 hrs after shot.

$124 per each US, $10 for clomid, $85 for HCG trigger shot. $240 for semen prep and IUI. Around $600-700 total per cycle

Dr. Wilshire is super direct and tells it how it is. We loved his confident yet humble approach. He explained everything very well, was direct about the lifestyle things we needed to change while explaining why the changes needed to be made. We never left the office confused or unsure of what was going on.

Make an appointment sooner! I wish we would have gone in when I first thought about it instead of waiting for "one more cycle".

For our first appointment, we watched a video that explained the fertility process and then Dr. Wilshire came and brought us to his office. He asked us all of the life style and medical history questions- in most offices the nurses do this, we liked that he did. He explained what the next few months would look like for us and then did an ultrasound. On my next cycle, I took Clomid followed by a trigger shot and IUI. We were successful on our first round!

None of the costs were over the top. You pay before you go in for your appointment. The cost was typically between $50-$200 per appointment.

Dr. Wilshire is one smart cookie. He was straight forward with us, set up our plan, and made sure we understood what would be happening at each visit. When we had unsuccessful cycles, the plan was adjusted every time. I always felt like he was moving us forward and swinging for the fences - every cycle. We felt really comfortable with him and he is so calm and kind, it put us at ease being in his care. Our experience has been wonderful!!!

Just follow along with the plan he sets up and have faith!!

1. Clomid 50 mg-was not able to do iui this cycle. Neg hpt. 2. Clomid 100 mg, progesterone supp, hcg inj. Successful but miscarriage at 6 weeks. 3. Clomid 150 mg, progesterone supp, hcg inj. Negative hpt. 4. Clomid 150 mg, progesterone supp, fsh injections, hcg inj. Successful and currently 10 weeks w one beautiful baby!

US were $120 and then eventually insurance covered, Clomid depends on in but mine was around $30, Progesterone was $65 per fill, hcg inj was $90, iui wax around $300. We thought all charges were reasonable. Working in healthcare, I feel like I have a pretty good handle on cost of procedures.

Dr Wilshire tells you how things are. He is sometimes blunt and to the point but does it professionally.

Ask lots of questions.

Follistim 225units daily for 7 days Ganirelix 250mcg on day 6 and day 8 Menopur 225 units on day 8 HCG on day 9 Egg Retrieval on day Day 11

We did fresh IVF cycles with ICSI. Our first pregnancy also required a TESA procedure. Our first cycle was partially covered by insurance. We had to pay about $14,000 up front and were reimbursed by the clinic after insurance paid, how total cost for that cycle was about $6,000. For our second cycle insurance covered most of it. We still had specimens froze so we didn't have to do another TESA procedure. Our insurance was checked this time and we only had to pay what insurance wasn't going to pay. At the time of our consultation we had different insurance so our consultation was $157.75. Our insurance changed at our cost were $320 for Hysterscope with practice transfer 2 office visits for ultrasound and Estradiol Levels $53.06 each $1500 for IVF/ICSI 3 office visits for ultrasounds after transfer $25 each For a total of in office cost of $2001.12 Medication Costs were as follows Birth control pills prior to starting cycle no cost Valium $0.68 for hysterscope Doxycycline $10 Follistim 4 vials $50 Menopur 8 vials $100 Ganirelix 3 vials $50 Endometrin $50 Augmentin $3.90 Aspirin $0 HCG $20 Total Medication cost $284.58

Dr. Wilshire was very honest about his expectations and blunt about fertility barriers. Though he is straight-forward, he showed compassion to our situation. He was very conversational on our first visit, which helped us get to know him, and him us. He always saw us on visits to tell us the current status and what to expect. Dr. Wilshire performed a procedure on me to help increase fertility, and everything went well and I was excellently cared for.

Dr. Wilshire will give it to you straight, and do everything he can to get you pregnant!

Initially, I had an exam which showed some ovarian cysts. Dr. Wilshire said I may have PCOS, so he did a procedure to possibly diagnose that and to remove any cysts that may be there. That went well. I didn't have PCOS, but several cysts were removed. This increases fertility. I took one round of Clomid, and did an Hcg injection, then went to have an IUI with donated sperm. A few weeks later we found out we were pregnant! Dr. Wilshire told us there was about a 60% chance of getting pregnant after three cycles of trying IUI. So we didn't expect it to happen so quickly! We are 10 weeks pregnant now.

I have a high deductible, so I paid film price for everything except the procedure I had. All office visits and ultrasounds were under $150.

Dr. Wilshire was amazing! He made me feel very comfortable and helped make the situation a little lighter while still portraying to understand the scariness of the circumstances. He even made us laugh! My husband and I were so nervous to take the step of seeing someone for infertility but upon first impression, he immediately made us both feel much better. We still talk about that first appoint and how we loved Dr. Wilshire within minutes of being in his office! He was incredibly blunt and very direct about what our 'problems' were and what our course of action would look like. He did not sugar coat anything but still relayed the message in a caring and compassionate manor.

He is very direct. If you don't like blunt then he is not the doctor for you.

I had a total of 2 rounds of IUI treatment. For each round, I went in on the first day of my period for an ultrasound and then was given a prescription for clomid (25mg the first round, 50mg the second) in which I took for 5 days towards the beginning of my cycle. Then in the middle of my cycle, I would go in for another ultrasound to make sure my ovaries had grown appropriately and that there was an egg ready. The gave me an hcg trigger IM injection to do at home that night and then the following day, my husband would go in and deposit a sample in which the lab in Dr. Wilshire's office would spin out the 'bad ones' of the bunch. 2 hours later I would go in and they would inject his sample directly into my uterus. It was completely painless and then I would rest there with my knees up for 15min. Later that night my husband and I had intercourse to set the 'environment.' After the IUI treatment I had to take progesterone suppositories until I got a negative pregnancy test or until 8 weeks gestation. 2 weeks later I took a pregnancy test. The first round it came back negative but on the second round it came back positive. I had to do IUI treatment because I have endometriosis and PCOS along with a blocked tube. The only thing that was not so pleasant about the whole expericence (other than it just being an uncomfterable situation anyway) were the meds. They made me feel pretty moody but it was all so so worth it because I now have a 3 month old baby boy!

My husband and I saw fertility doctor after fertility doctor due to recurrent loss. I feel like we got nowhere and got different answers every single time. I have several family members and friends who have full blown infertility and they got pregnant successfully within 1-3 visits with Dr. Wilshire after years of trying. When I got an appointment with him, we walked out very confident in Dr. Wilshire's plan for us. We we lucky enough to get pregnant the first round of IUI. This pregnancy is the first pregnancy out of 4 total, that is healthy. And I believe it was because of his approach. He kept a close eye on me through about ten weeks pregnant with my history of miscarriages. When we had to depart it was very bittersweet. I have been referring everyone who I know that has infertility to him. My husband and I will definitely be back if need be for our other children.

If you want to go through treatment, you have to be willing to spend a little money and be able to take off work last minute. This wasn't even an issue for us though because IUI was very affordable and they were able to get me in at 7 am before my work even started. Each of the visits had no wait in the waiting room and I was in and out within less than 15 minutes and that even included the quick IUI procedure. I was even able to go straight back to work after that with no restrictions.

I did a series of tests with several different doctors and even a hysteroscopy and laparoscopy to try to figure out recurrent loss. When I got to Dr. Wilshire, he did one more round of tests to see if I needed to do IUI or IVF. Lab work came back good so we did IUI. I did 50 mg of clomid with ultrasound monitoring, trigger shot and IUI. Then he put me on progesterone. I had only one dominant follicle. First round worked and I got pregnant successfully with a singleton. I am currently 11 weeks pregnant.

Each ultrasound cost $125 and IUI was around $200. The medications were fairly inexpensive.

Dr. Wiltshire was always very open and straightforward with us. There were times that his honesty stung a little, especially in regards to my weight issues, but I never once doubted that he had our best interests in mind. He is very knowledgable in his field and always made sure we knew what was going on with our treatments. He made us feel comfortable and confident as we continued our treatments.

He can be very straightforward and a little abrassive, but he is amazing at what he does and always has your best interest in mind.

Since I was diagnosed as having PCOS one of the biggest parts of my treatment plan was to be on a low carb diet. This helped to regulate some of my levels in order to make my IUIs successful. Our medication was modified as needed based on what my ultrasounds would show.

At the end my insurance covered all ultrasounds. Before that I paid $125 each visit for an ultrasound and when we would have an IUI done it was around $220.

Dr Wilshire from the get go was very forward. He didn't sugar coat things, but he also was not too harsh or gruff in explaining the hard facts. From the first visit we were very confident. He moved forward with us immediately with a plan, from day 1. If we experienced any set backs or curveballs, he wasted no time in coming up with a new plan and putting it into place immediately. There was never a time where we went home disappointed in the care we received. We may have been disappointed in outcomes along the way, but those were outcomes that were not in anyway in his control. They were outcomes left to nature and my body that did not cooperate with our plan. Dr Wilshire was always available for questions. He never turned us away or referred us to ask his nurses questions. He was genuine in the time spent with us.

He prepared for the truth. Nothing will be sugar coated. He is honest in what baseline factors need to be present to conceive. Whether it's losing weight, or gaining weight, or picking up exercise and getting healthier, or cutting back on exercise and letting your body heal. He knows what he is doing. Trust it!

We first tried clomid, but thanks to my pituitary issues, my body did not respond to this at all. So we immediately moved go injectables. It was a fast change of plans, and scary. We didn't expect that so quick. But Dr Wilshire knew clomid was a waste of our time, so we moved on! IUI + follistim was next for us. Since I had plenty of eggs, and maturation/ ovulation was my issue, we started with half the typical dose. Being conservative worried me, but he was right, because even at a half dose I over-responded and the cycle was cancelled. The next cycle, they monitored me every other day instead of every few days, to titrate my dose as needed. With this, I even still was over stimulated and cancelled yet again. We gave it one more shot, and this time went so low and low that after two full weeks of injections, we had no lead egg(s) jumping out and they were in fact fizzling. So we cancelled and moved to IVF. Our protocol with this was going to still be conservative, and have both an agonist and antagonist approach. We chose this since I do get overstimulated easily. We did not want premature release of any follicles. So about half way into stims we added antagonists as well. We went: follistim, follistim+ menopur, menopur+ ganirelix, and trigger. That worked beautifully. Resulting in an abundance of eggs.

Ultrasounds were roughly average, ~$100. IUI was average as well, aside from injectables, the procedure cost just a couple hundred. Ivf cost was reasonable and average. ~15K, including ICSI, not including genetic screening.

He's very honest about what needs to be done. He gave us a detailed diet to follow which I like since I'm horrible at following diets. He was so excited for us when we did get pregnant. I would highly recommend him.

He's honest. I'm 30lbs overweight and he did tell me that losing weight would help but it wasn't mandatory. He did it in such a way that I wasn't offended or upset by it.

We did 4 clomid IUI cycles with Dr. Wilshire which we unsuccessful. We decided to jump straight to IVF since an injectables cycle is so expensive to give us our best chance. Dr. Wilshire agreed with our rationale and put me on birth control to start. Before the cycle started we did a mock transfer which showed I had a pseudo cyst which he removed right there. I like how proactive he is. We did two weeks of injections but I only produced 4 follicles. Since we were expecting to get 20 this was disappointing. Dr. Wilshire discussed cancelling the cycle so we didn't spend the big bucks for 4 eggs. We decided that was best and the cycle was converted to IUI. The IUI worked and we now have a beautiful 4 month old!

Dr. Wilshire made us feel as part of his family and always encouraged us to do what we were comfortable with. He easily could try and sway our decisions to improve his numbers but he cared about us as people and our mental health through the process. We always had complete trust in him and his team and it was very bittersweet to move on after becoming pregnant.

Be honest and open, he's available to talk about any and everything. Don't hold back any questions or concerns because Dr. Wilshire can make you feel at ease after discussion.

All of the first 3 cycles were slightly different, working to find something that would work for us. After trying a double transfer that he had not done before and having success, the same protocol was used when we returned to conceive our second baby.

With no insurance coverage everything was out of pocket. I can't remember exact costs but compared to other offices it was average in comparison.

Dr. Wilshire is very matter of fact when it came to anything they found. He was good at explaining every procedure. He had good bed side manned and liked to joke with us during the appointment. That felt good to laugh a little during any of the hard times.

Be prepared for him to be matter of fact when it comes to any diagnosis or results that he finds. He is very blunt with his answers.

The cost of each IUI was about $800. The cost of our first round of IVF including egg retrieval, freezing the eggs and transfer was about &15,500

Wilshire is very through and will go over the procedures and expectations step by step. He is direct, but I appreciate that. He went over all my needs and always answered every question. He wants to help you achieve your goals and is very open to LGBT.

He is direct and will tell you how it is. But you are an adult, you should be able to handle it. If you are overweight, he will tell you--to try and help you--to start managing yourself.

I had a surgery first to remove a Cyst from my left ovary. Then we started IUI rounds a few months later. They were started with 5 days of clomid followed by the procedure and some progesterone.

the prices are very reasonable!

We had a great experience with Dr Wilshire from the initial consultation through the egg retrieval and after. We felt he took the time to thoroughly explain the procedures. We felt Dr Wilshire was very honest with us about our chances.

Any patient should ask lots of questions and if you don’t understand the answers, ask again.

The total costs related to our first cycle of IVF was a little over $22,000. This included the ultrasounds, the egg retrieval, ICSI, PGD testing, and the medications.

Dr Wilshire did go over the risks of a multiple embryo transfer because I have a weakened cervix from a previous surgery.