Missouri Center for Reproductive Medicine & Fertility

When first meeting Dr Zarek my husband and I had no idea what to truly expect. Dr Zarek talked with us for close to an hour, and presented us with written and verbal education on exactly what was happening at that time (I had an endometrioma that had encapsulated one of my ovaries) and what our options were going forward. She fully explained the process and what her recommendations would be for fertility treatment in the future. She has been consistent with treatment plans and education. Unfortunately each IUI up to date has failed to result in a preganance, and Dr Zarek has checked in on each testing day and provided me with compassionate encouragement with each failed test, as well as laying out a hopeful and simple plan for what is next. I believe Dr Zarek's strengths include her love of people and passion for helping those attempting to start/grow a family. She is articulate and clear, with consistent plans and information, which are very important to me. I would say the only weakness I have noticed is that she can be somewhat rushed at times due to busy clinic schedule, but I would add the caveat that I have never felt hurried or pushed aside even when I can tell she is quite busy.

Bring a notepad and writing materials, you will be provided with a lot of information and if you're like me, you will want to take notes.

For both IUIs Dr Zarek put me on Letrozole to help with stimulating follicle growth, and then Ovidrel to stimulate ovulation. Both times were correct and needed for the most successful ovulation possible. I did ovulate at the proper time and at the time IUI was completed.

My insurance covers office visits and imaging services, so IUIs cost ~ $500 (Ultrasound covered by insurance would have increased total cost for the IUI to $1000). My medication runs ~$160 per IUI cycle.

Dr Zarek expressed to us that she strongly disagrees with multiple embryo transfer due to the increased chance of a multiples pregnancy, explaining that a multiples pregnancy significantly increases risks to the baby as well as the mother.

Dr Zarek is very knowledgeable, honest and compassionate. She was very encouraging throughout the entire process, always poised and grounded. I believe she LOVES what she does and it comes through in her meticulous work and in how she cared for me. My husband and I are very grateful to have met and worked with Dr Zarek:) I would recommend Dr Zarek to my closest family and friends.

I would tell them to have trust in Dr Zarek's abilities.

The first step for us was the ovary stimulation and egg retrieval. We used Follistim, Menopur, Leuprolide, birth control pills and HCG prior to retrieval. We did 2 frozen transfers: 1st transfer- started with birth control pills, then Leuprolide injections and Estradiol pills. After the transfer I started progesterone injections and progesterone suppositories while continuing the estrogen pills. 2nd transfer: Dr Zarek adjusted the amounts of my medications, added estrogen patches and changed the type of suppositories I was using. During my donor egg transfer we used similar procedures but Dr Zarek adjusted my medication amounts. Dr Zarek monitored my blood test results regularly and adjusted my medications accordingly.

Most of my monitoring appointments were scheduled for me and done at my clinic close to home. Being 5 hours away made it hard to drive to my morning appointments at Dr Zarek's office. I had two ultrasounds per cycle done at Dr Zarek's clinic and they were scheduled to accommodate our schedule; very pleasant experience each time and we were informed of all findings.

We had separate hospital and doctor fees. The hospital fees included all lab work and transfer procedures; doctor fees covered all work done by Dr Zarek and her team. The cost of the entire process was approximately $35,000 plus an additional $15,500 for the donor eggs. Our insurance covered some of the medication and all blood tests; we paid for ultrasounds and everything else out of packet.

I agreed with Dr Zarek's approach: for the 2 frozen embryo transfers using my own eggs she implanted 2 eggs with each transfer and for the donor egg transfer she implanted one egg.

From the very first consult to the graduation of the program, Dr. Zarek was amazing. She explained everything with great detail and was very optimistic and confident in our journey to our rainbow baby. She has such a kind positive energy that is contagious and helped my partner and I to feel at ease with our infertility struggle.

You can finally relax because you are in the best hands! It was such a relief to find Dr. Zarek for us and to have such a great team behind us!

When we started our journey with Dr. Zarek, we were set up with an appointment with a financial counselor that helped to explain the costs associated with IUI as well as the diagnostics. They were extremely helpful and even had the specific names of pharmacies that had the cheapest medicines associated with our treatment. It was so great to have a heads up of what we would be spending during our journey. They even called my insurance company to see what was covered and what wasn’t.

My husband and I have been under the care of Dr Shvetha Zarek. We were referred to her after we experienced a miscarriage and couldn't become pregnant again. She has been very proactive about getting to the bottom of our fertility issues and she has always made us feel comfortable when moving forward with tests and procedures. She is an amazing doctor and her bright attitude is always reassuring.

Ask questions. This journey is a difficult one and you should be comfortable moving forward with every treatment option. Dr Zarek always answers our questions and makes sure that we are okay with moving forward.

I took a medication called Letrozole followed by an injection of Ovidrel for ovulation induction, then used times intercourse to conceive. Resulted in pregnancy and was monitored closely with vaginal ultrasounds. Pregnancy was not progressing as it should but I couldn't bring myself to end the pregnancy with the hopes that things would begin progressing normally. Dr Zarek respected my decision and continued to monitor us closely. I began to have bleeding and contacted Dr Zarek office. The were very accommodating and got us in very quickly to be seen. Unfortunately, that pregnancy ended in a miscarriage, but I wouldn't change how we handled it in anyway. During the miscarriage process Dr Zarek and her team were very supportive and I can't thank them enough for the compassion they showed. When we returned to the office to continue with treatments and get answers we were felt so loved and cared for. They are all on your side and will do what they can to make this process easy.

I am unsure of exact costs. I know that I had 2 ultrasounds done between taking my Letrozole and getting my Ovidrel injection and each of those were 400$. Also, the ultrasounds monitoring my pregnancy were 169$ each. These were done every 2-3 days

I don't have comments on this at this point. We were scheduled for a consultation to discuss this process at the beginning of April, but that appointment has been postponed due to Covid-19

My experience with Dr. Zarek has been fantastic. I switched from a different doctor and I'm so glad I did. She is personable, caring, supportive, and upbeat. She gave me her personal cell phone number so I could text her any time I needed to - and always responded quickly! I even had to text her close to 10 pm one night due to some bleeding and she responded right away and helped calm my fears. She is without a doubt the best doctor of any kind I've ever had.

If you're thinking about it, go for it! She's amazing and you won't be disappointed.

I don't remember exact details but the injectable medications I used during my egg retrieval cycle were Lupron, Follistim, and Menopur. Then during frozen embryo transfers I used Lupron to prevent ovulation, estrogen (pills, patches, and injections) to build my lining, and of course progesterone starting 5 days before transfer.

We paid for a package that included all ultrasound monitoring, egg retrieval, and one embryo transfer that cost $8,000 (in April 2019, I believe this has since gone up in price) and my medications came to a total of about $3,600.

For the first transfer Dr. Zarek was pretty set on doing one embryo. When that transfer ended in a chemical pregnancy I asked about doing two embryos for the second transfer and she was agreeable to that plan.

Dr. Zarek took fantastic care of us. She reached out to us personally through the achievements and setbacks. We were so blessed to have someone so personable and compassionate during such an emotional process. We couldn't have asked for a better doctor.

She works to learn about you and your wants as a couple. She really goes above and beyond to know her patients.

I was diagnosed with PCOS. My husbands sperm was great. I had and abundance of eggs since I do not have a cycle/ovulate on my own. She put me on femara I think I started at 5 mg. The first iui failed. Then the second round of meds my body didn't respond so my dosage was upped to 7.5. After the 2nd failed iui I had a cyst show up with had to be drained. Mh 3rd iui cycle was our lucky cycle!

We froze my husbands sperm since he had good sperm. So I think it was only $20 to unthaw and wash for an iui. Each ultrasound was $370. The ovidrel shot was $100 and I want to say the actual iui was around $385

Dr. Zarek was willing to speak with us candidly about IUI vs IVF and what might be in store for us with the different options. She was also willing to talk more in detail as we had different thoughts or wanted more information throughout the process. She made sure she was available for questions/urgent issues, which was comforting.

Feel free to ask questions, even if you think they're stupid.

We did IUI with sperm donor. Our first 3 cycles we did used letrozole to stimulate ovulation, Ovidrel to ovulate, and 2 weeks of progesterone (oral.) For the fourth, after discovering the Letrozole wasn't actually doing much, we did an unmedicated cycle with an Ovidrel shot to ovulate, 2 weeks of progesterone suppositories, and an Ovidrel shot a few days after the IUI to keep my body from trying to start my cycle over too early. This was the successful protocol.

I can't remember specifically - I think it was about 375 for the ovulation ultrasounds (although my insurance changed at the end to pay for that) and about 375 for the IUI. We also had to pay for donor sperm but that isn't related to the clinic. I think Ovidrel was 125. The letrozole and progesterone were covered by my insurance.

We didn't get to the point of discussing it in depth, but in contrast to my previous RE clinic, it appears MU Health doesn't do PGS testing and is more comfortable with multiple transfers. I have no knowledge or opinion on which approach is "better" and this may not be a completely accurate representation of MU Health's approach as we never did IVF, only discussed it.

Dr. Zarek is up front about everything. Since we were returning patients (our previous doctor had retired) she started with what we had ended with previously. We didn't have to go through the whole gamut of testing and procedures to get to the IVF point. She told us the plan and that's what we did. Dr. Zarek was always available and open to communication through texting. It was nice to have that line of communication since some questions/situations were more important than others. She always responded promptly. Dr. Zarek is continuously checking on me to see how I'm doing whether it was during the IVF or FET cycles and now pregnancy.

I would tell any patient to not be afraid to ask questions. Dr. Zarek was always open to what we asked and always had an answer.

Due to prior treatments with our first doctor whom had retired, Dr. Zarek started right at IVF since we had no frozen embryos. We immediately did the genetic testing for both my husband and myself. Luckily we had our first visit with Dr. Zarek before an IVF cycle and started immediately. We went through birth control followed by Lupron and then Follistim. We had ultrasounds and bloodwork to monitor embryo development. Before the retrieval, the HCG injection was administered. The embryologist called with the fertilization rate after the first day and I believe 3rd day. Our IVF transfer did not work out and Dr. Zarek called to talk about what we could do next and when. We immediately started an FET cycle. At our baseline ultrasound, I had 2 cysts as a result from the IVF cycle. At that moment we decided to stop the cycle because we didn't want to go through another procedure to drain the cyst. We started another cycle for a November transfer which was successful.

IVF was around $8,000 for the procedure and ultrasounds. Medication was another $3,000-$4,000. Bloodwork was over $100 each time. FET was around $3,700. The medication was around $1,000 and that includes through the first trimester. Bloodwork was again over $100 per time.

Dr. Zarek recommended to only transfer one embryo, which is what we wanted, but was not against transferring two if that is what we had wanted.

She was very friendly and upbeat. Great bedside manner. She took the time to explain everything and answered all of our questions. She even came in on her day off to do my SIS. So far everything has been going well. She set out a good plan of action and was honest with us regarding chances and about our infertility diagnosis.

Don’t be afraid to ask questions

We have mild male factor. She recommended 4-6 cycles of IUI, before reevaluating and going to IVF. She said she was very hopeful and that we had really good chances of conceiving within those cycles. My current protocol is 5mg Letrozle CD3-7. I’m currently in my first cycle, 2 days from when period is due. I did not use a trigger shot as she had me confirm ovulation at home using digital OPKs. I was supposed to come in on CD12 for a follicle scan but I got a positive OPK CD9 and had IUI on CD11. I think next cycle I may want to opt for the trigger as testing at home is stressful. No positive HPT yet but will start next cycle with same plan if not successful.

Testing alone up until infertility diagnosis was $1,400 after insurance. IUI procedure still in processing with insurance. Letrozole prescription was $3 after insurance.

Dr. Schust got information back to me from lab results/pathology on days that I knew he wasn't even in his office. He spent over an hour with us at our consultation and helped me to understand every test we would be performing due to my recurrent pregnancy losses. He was kind and understanding and he had an answer to every question I had. I've read research papers of his and the man is extremely intelligent. It's pretty amazing to come across that type of intelligence along with a wonderful personality. I can't even imagine working in this field as the common (for good reason) anxiety from patients would be overwhelming to me. I truly hope that Dr. Schust is training doctors and residents in this field so his knowledge is shared and everyone can strive to be as good as he is. I only wish he could be my OB, too, as I was not ready to leave his care.

Go to him, you won't regret it.

I saw him more for RPL than infertility. We did several blood tests, a hysteroscopy, a total of 3 endometrial biopsies and I was treated for 30 days with antibiotics for chronic endometritis. I then took clomid, Started progesterone around day 18 of my cycle (or 3 days after positive ovulation predictor kit), and continued vaginal progesterone for about 12 weeks. I was fortunate enough to become pregnant with twins on the first try. He also stated that the biopsies were similar to endometrial scratching, which was shown to help the chance of pregnancy. Maybe it did.

Costly for testing for RPL ($2000), but this was not a surprise to us.

Dr. Ahlering was very friendly and seemed genuinely concerned about us. However, he underplayed the risks of being unsuccessful, even going so far as to say that with our numbers we were looking at at least one and maybe two live births. Needless to say, when I ended up with dramatically fewer eggs (10 not 20), embryos (2) and no live births, I was very disappointed/heartbroken and angry at myself for spending our life savings on something we were lead to believe was a pretty sure thing.

Take his enthusiasm for your chances of success with a grain of salt. At the end of the day, he is selling a very expensive service.

I purchased the IVF Gold package. Dr. Ahlering likes to say that his protocols are individualized but they really aren't. My nurse mentioned that it was the "___" protocol - essentially one of a dozen options and one commonly used for people with PCOS. When my results were OK, but not stellar, during monitoring visits, Dr. Ahlering did very little to increase my dosages or change the path we were on which ultimately led to failure.

$10,000 for the Gold package with discounts $3500 for medication $2200 for PGS testing (we ultimately decided not to do this when we only had 2 embryos, we had been told we were likely to have 8+ when we started the process)

We had two embryos and he was more than happy to transfer two embyros. From what I have heard, he is willing to transfer more embryos if that means a successful pregnancy, regardless of risk of multiples. The clinic seems to have a relatively high number of multiples.

Not getting to meet the doctor in person was difficult but we trusted him from his reputation. He seemed to care about us and was positive he could help us get pregnant. Once we met in person I was thrilled. He is ridiculously smart but so personal. He was funny and confident. He earned my respect within in 5 minutes and that help ease my stress and panic since this was my first time with IVF.

If you have the financial means go meet him in person first so that you can be at ease. Do your research on his clinic and ground breaking technology he has created. His staff will help you via phone and email.

My husband took the hcg shot twice and I was on Lupron to prevent ovulation. Prenatal vitamins had begun. Birth control was first step the first day I started my cycle again to control my cycle. Then follistim was used to start to grow the follicles. Menopur was taken twice to help with ovarian quality. Hgh was also take twice to help mature the eggs and of course the HCG trigger shot was given 72 hours prior to retrieval. When the doctor did my ultrasound he wanted the follicles to be bigger so he added two more days of follistim. I went to see if the follicles had grown and they had to the perfect range he wanted. He scheduled my egg retrieval on a Sunday. He wanted to wait for 5 day fresh transfer be said he felt like my egg reserve was good and it was our 1st attempt. We transferred two embryos which was a mutual agreement given my age of 33 years old. One embryo stuck and we are now 12 weeks pregnant

Around $15k from A to Z Due to our income we didn't qualify for any prescription discounts and our insurance paid zero.

Dr Zarek took the time to talk to us and find out what we wanted to try for treatment. She performed tests before treatment that others had not and explained the results in detail. We really felt like she wanted to help us.

My advice is to do your own research before you see the doctor so that you can ask questions.

In preparing for the IUI, I was originally given Letrozole 5 mg. When I went in for my ultrasound the follicle was small so they gave me additional Letrozole (7.5 mg) before doing IUI. The second IUI I was given Letrozole 7.5 mg. I did an Ovidril trigger with both IUIs. We did not have a pregnancy with either IUI.

This doctor genuinely cares and has tried everything to help our male factor infertility as well as making sure that we are ready. The clinic is half of the past clinic we have worked with and their success rates are much higher. We are very hopeful.

Don't be afraid to ask questions and make sure you give them all the k formation they need.

We are currently preparing for an IVF cycle. My husband is taking clomid and ovidrel injections to help count and I am taking birth control to prepare for our medicated cycle next month.

MCRM has many packages available to make things more affordable. He also works with a pharmacy program that offers discounts.

Dr. Hsu is very patient when answering questions and very forthcoming. Recommended my husband to be placed on Clomid in an attempt to improve his sperm count. Which is actually working! We are hoping to continue our visits with Dr. Hsu as soon as the Coronavirus is over and we able too. Dr. Hsu has always accommodated both me and husbands schedules as we live over 1 hour away and he in the military.

Understand that he does not sugarcoat anything.

Very affordable.

We felt like if she had explain all our option and what was best we would have a baby. She just kept send us through the same clomid cycle and iui never mentioned trying any other drugs. It was either try iui with clomid or IVF. She didn't ever recommend sending my husband for test until we had already failed a couple times.

Don't go

She started me at a low does of clomid and I would track my cycle and then come in for an iui and after each failure I would get my clomid bumped up.

Each cycle was 500. Blood work if done at the hospital were very expensive so I went elsewhere

Dr Zarek is hands down the best doctor I have ever seen!! She is caring, compassionate, understanding, thorough, and makes the process seem effortless! She is amazing at what she does while making you feel like you are her only patient in the world! She provided personal contact information and was always available for quick text questions and as hoc phone calls! I have not see this kind of care and responsiveness from any other doctor, ever. She is by far the best!

Be ready for her to make your dreams come true, quickly!

We used letrozole 5mg for the first cycle with timed intercourse. We did this to start so that we had time to have all testing done and results analyzed. After determining slight male factor, we decided to do IUI for the next cycle. This included letrozole 5mg, ovidrel trigger shot, IUI, timed intercourse, and progesterone. This resulted in a pregnancy and I am currently 7 weeks with TWINS!!

Letrozole was covered by insurance Ovidrel $150 out of pocket Progesterone $53 for 12 day supply (for whole first trimester) IUI procedure- $350 Outside ultrasounds $400 Appointments with Dr Zarek $350

Dr. Zarek was all around one of the most compassionate doctors I have ever encountered. She seemed very excited and eager to help me which I valued because I knew she had other patients besides me. Infertility is such an emotional stressful experience on its own, but I remember feeling so much better even after our first visit with her. She is a very positive person and reminded me of all of my options of care from the very beginning. I remember leaving her office and telling my husband I actually felt hopeful for once that we would end up pregnant. Communication is very prompt which is nice during fertility treatments. I would highly recommend her to anyone that I know who may be struggling with obtaining pregnancy.

Don't be nervous. Get excited and have faith because she will do everything she can to help you.

I did medication with injectables and timed intercourse X2. Letrozole 5mg on days 3-7 of my period followed up with a mid cycle scan around day 12-14. If i had any follicles that were of size I would inject myself with ovridrel. Five days after injection I would take progesterone twice daily for twelve days. I would then test after progesterone was complete or after I missed my period.

Around $5,000. Insurance covered a lot more then I expected.

Dr Zarek would always go out of her way to explain different fertility treatments and there success rates. There were a couple times where I felt Dr Zarek had a preference on a type of treatment. I was always able to make the final decision, but sometimes felt a little pressure due to timing or other financial constraints.

Dr Zarek is a great doctor who will listen to your concerns or questions. Don't be afraid to ask or have your concerns expressed. She will do her best to address them.

I had IUI procedures with Dr Zarek. After miscarriage and negative pregnancy tests, I agreed to moving to IVF. Pre-treatment began with birth control to regulate cycle for IVF. IVF cycle began with taking fertility drugs which I responded well to and resulted in successful egg retrieval. First transfer was unsuccessful. Second transfer was successful.

Costs were reasonable when compared to other clinic costs.

Dr Zarek recommended no more than a 2 embryo transfer to improve chances without increasing chances of a multiples pregnancy.

Dr. Zarek is the best doctor I have ever seen! She is warm and inviting. It was evident from day one she really cares about her patients and their success. She even gives her personal phone number to you so you can text her with any updates or concerns. I also loved how present she was with our care; performing all procedures herself. She made us feel so loved!

If you want to really be taken care of by a knowledgeable and caring doctor go see Dr. Zarek. I would recommend her to anymore! I meet people out in the community who have seen her too and they all talk so kindly of her as well!

When my husband and I first went to see Dr. Zarek we were coming off of a miscarriage from an IUI procedure with a doctor who took little to no time with us. I was apprehensive to say the least. Day one Dr. Zarek met with us and told us ALL the possible treatment plans for someone with my diagnosis (Endometriosis and PCOS). She then set up a time to begin performing diagnostic testing. This was one of the best parts of her treatment plan. It allowed us to get some real answers before going blindly into expensive and stressful procedures. Part of the diagnostic protocol was for me to have an SIS done to make sure my tubes were clear. This was when they discovered they were blocked. I could have wasted so much time, money, and energy with the last doctor doing IUIs that would have never successfully gotten me pregnant. DR. Zarek saved us from thst struggle. We then began IVF procedures. I am currently pregnant with Twins!

5,000 for IVF meds, 8,000 for IVF procedure and ultrasounds, 1,500 for additional bloodwork.

Dr. Zarek was absolutely wonderful through our time with her. She helped us understand what could potentially be causing our fertility issues and addressed them accordingly. She was very honest and realistic regarding our situation and always made sure we understood what was going on. She was easy to get into contact with outside of office hours when we had questions or concerns and replied quickly. She made my husband and I feel comfortable and involved through the whole process. I would highly recommend Dr. Zarek to others.

Dr. Zarek is very personable and easy to get along with. She keeps you up to date on everything and tells you results when she knows them. She's easy to get into contact with all hours of the day. She explains everything so that it's easy to understand and encourages questions if you have them.

When we first saw Dr. Zarek, she did general testing, such as ultrasound to check my reproductive organ structure and tested blood flow to my ovaries. She also drew blood to get a general idea of how everything was. Based on my results, she determined my thyroid hormones were imbalanced and was causing irregular cycles which made it difficult to know when ovulate and get pregnant. During our miscarriage, she did an ultrasound and blood tests to confirm and provided support throughout. When I became pregnant again, she drew beta levels three times to follow the upward trend and follow-up ultrasounds.

We are thankful our insurance has been able to cover all costs associated with our care. We've had no issues associated with it

We did not use embryo transfer.

From our first consultation to our successful IUI, We felt like Dr. Zarek was in this fertility journey with us. She was direct, compassionate, positive, honest, kind, and caring. She was exactly what we were looking for in a fertility doctor.

Dr. Zarek is extremely knowledgeable and wants you to be active and involved in your journey just as much as she is. She will work hard to find out what’s causing the infertility and then develop a game plan with you and your partner.

The first step was doing a simple blood test. Second was having my husband provide a sample to check his sperm counts and I received a sonohystogram to check for any abnormalities within my reproductive system. Next, I had some polyps so they were removed. Then, since my husbands sample was good and there was no obvious problem with me, we begin the first round of medication to prep for the IUI. I had US’s following the medications to see if there was a good sized follicle. Once this was achieved I took a trigger shot and 2 days later the IUI was performed.

With my job, my insurance coverage is very good. The IUI process was not covered by insurance and was about $400.

Dr Zarek was extremely personable, friendly, and caring. She was wonderful about answering any and all questions no matter weekdays or weekends. She was thorough in her explanations and talked us through any changes throughout our entire experience there.

Sometimes it takes a while to figure out how to adjust treatment to your bodies ongoing struggles.

I moved from oral fertility medications with natural copulation, to injectable fertility medications with IUI treatment. Then Injectable fertility medications With IVF implantation.

There was significant financial and time costs, but my insurance payed for a large portion of the entire process and we knew this process would be time consuming when we looked into fertility treatments.

Dr. Zarek has been the best doctor I have had the pleasure to work with. I truley feel like after all we have been through we are now friends. Though all of my infertility struggles she was there every step of the way. I had her cell number and she was always quick to reply to any of my questions or concerns day or night. She made me feel important and truly cared about me and my well being. I just cannot say enough great things about her or her staff. From the front receptionist to the nurses and ultrasound tech everyone was always so nice to me and greeted me like a friend. I would recommend this office and doctor to anyone struggling with infertility.

I met with her and we both discussed my previous history and then she let me know a plan of action. I love how each and every patient has their own personalized protocol to get the best results and not just one umbrella coverage for everyone.

They are very good at advising you on the benefits and or complications that could happen and talk to you what is best for a successful pregnancy for each individual person.

My husband and I adored Dr. Zarek. She diagnosed us with unexplained infertility and recommended IUI. She was so patient in explaining everything to us and answered all of our questions. We felt very comfortable under her care and felt like we were in the best hands. She’s very honest and intelligent and just makes you feel good. She’s the best doctor I have ever encountered!

If you have questions or concerns, she is more than happy to answer them. She will put your mind at ease.

My husband and I were diagnosed with unexplained infertility. She recommended 3 IUIs before moving on to IVF. I took Letrozole to stimulate ovulation and did the trigger shot 36 hours before the IUIs. Despite doing 5 IUIs, we did not fall pregnant. After our 5th IUI she recommended that we move on to IVF. My husband and I decided we needed to take a break from TTC. Dr. Zarek was very understanding and supportive. Three months later we fell pregnant naturally! We just had our first US appointment with Dr. Zarek and everything looked great. We have graduated from the fertility clinic and we’re so sad to be leaving Dr. Zarek.