RMA of San Diego/ Pearl Mini IVF

Dr. Davis was phenomenal! When I got pregnant, I was actually sad I had to stop seeing her and that she couldn’t be my OBGYN. She was caring, detailed, and really walked me and my husband through every step of the process. It felt as though we were seeing a friend who was well versed with our medical histories and guided us through the entire treatment plan. She suggested trying different protocols that my previous clinic was never willing to try and was open to my wishes. She never pressured me to do something I didn’t feel comfortable with and would always listened to what I wanted to do and how I felt. She is truly one of the best doctors I have ever had.

She is the best! I had the experience of going to two different clinics and seeing two different doctors during my fertility treatments and the difference between both doctors and clinics was like night and day. Dr. Davis is great and I would tell any prospective patient to go to her and see what she suggests as a treatment plan. Even if she suggests something, she always lets the patient decide what they want to do and what they feel comfortable with. There is never any pressure to do anything you don’t want to do.

Dr. Davis was the second fertility doctor and clinic that I had been to. I had already done an egg retrieval and had frozen embryos ready from my prior clinic. I wanted to switch clinics because I had done 3 IUIs and 2 embryo transfers at my last clinic - all of which resulted in negative pregnancy tests. I also had done multiple tests, and HSGs and told Dr. Davis I didn't want to do anymore. Dr. Davis respected my wishes and suggested that we do a mock cycle where we can biopsy my tissue and get a better understanding of the uterine environment and biome. Since I had done two natural frozen embryo cycles, Dr. Davis suggested doing a medicated cycle. I told her I didn’t want to go on birth control as I didn’t like how I felt on it and again, she respected my wishes (something my last clinic was opposed to). We did the mock cycle, did the EMMA and ERA test and everything came back normal. So we decided to proceed with a medicated transfer cycle for our next embryo transfer. The transfer was successful but there were implantation issues which led to a miscarriage at 6 weeks and 5 days. We did a D&C to test the tissue and see if the issue was embryo related or implantation related and found the embryo to be normal. Dr.Davis said the cycle was successful since it did lead to a positive pregnancy test so she encouraged us to try again with another medicated embryo transfer. This one was successful and led to a positive pregnancy test. Dr. Davis saw me every week or every other week for ultrasounds at 5 weeks to make sure this pregnancy was viable. I graduated her fertility clinic at 9 weeks pregnant and am currently 15 weeks pregnant with my miracle rainbow baby. I truly don’t think I would have made it this far if it weren’t for Dr. Davis. I have a unicornuate uterus and was told by a doctor at my last clinic that I should give up trying and consider surrogacy. Dr. Davis was determined that I could get pregnant and have a healthy pregnancy. She never gave up on me and encouraged me to try as many times as I felt comfortable with.

I can’t remember the total costs exactly but if I had to estimate, I would guess around $5K

Because I have a unicornuate uterus and am of younger age, both Dr. Davis and my previous clinc would only do single embryo transfers as opposed to multiple embryos. I was fine with that approach so went with their guidance.

Dr. Davis was amazing and supportive from my first appointment to my last. She communicated each step of the IVF process clearly and made sure I understood the expected outcomes for each procedure. She was very caring and it felt like she too was emotionally invested in the outcome of my IVF. She went above and beyond what I expected when I started searching for an IVF doctor.

Be open and honest every step of the way and Doctor Davis will do her best to help you make your dreams come true.

I was using insurance to pay for all my IVF treatments, excepts medications, so my total out of pocket cost for egg retrieval, embryo preservation, and embryo transfer was about $9,000 total. For a patient without insurance the total for one complete egg retrieval was around $18,000. The stimulation medications that were taken prior to egg retrieval were around $3,000 for my protocol with a manufacturer discount from EDM Serano.

Dr. Davis strongly preferred a single embryo transfer due to the success rates of their embryo transfers and the risks involved in a pregnancy with multiples. She stated she would transfer 2 embryos if there was reason to do so and it was requested by the patient.

We are so grateful to Dr. Davis and the entire team at Pearl! After working with 2 other SD area clinics with no success we are so happy we moved forward with the Pearl team. Everything about our experience at this office was 1000% better than our experiences with other clinics. Dr. Davis is very personable and always listens to our questions and concerns with compassion, understanding, and knowledge. I saw her personally at almost all of my appointments which helped keep open lines of communication and quickly get answers to questions. I felt like I was treated like a person and not just a number or a science experiment. And most importantly we had success and are currently pregnant! I couldn't recommend Dr. Davis and her team more. She offered us hope and her approach with mini stim is exactly what my body needed. THANK YOU!

Don't hesitate to advocate for yourself. She's always interested in your thoughts and ideas and willing to change things to accommodate your desires.

We did 1 egg retrieval with ICSI. We did pre transfer testing and a month of Lupron suppression before transfer.

We only wanted to transfer 1 embryo

Dr. Davis is a unique combination of compassionate and also knowledgeable of IVF for people like me who need unique protocols due to DOR and endo. She has also gone through IVF herself, so she gets how hard it is when things don’t workout. When one of my egg retrievals didn’t go as planned she gave me a bunch of meds. She is kind and I am thankful for her. I feel like I can trust her. One drawback is she is the only doctor at her clinic and sometimes I feel like she gets busy and struggles with follow up.

Advocate for what you think and need. Share with Dr. Davis what you are wanting and she will support you.

Mini IVF: Cycle 1: Primed Estrogen 2mg for 7 days (First 4 days) Letrozole 5mg Androgel 1ml Dextramethazome 10mg Starts injections (every other day) 150 FSH 20 LD HCG Antagonist day 10 Continue with pills the whole time Did this for 18 days and then dual trigger of lupron 80 units and 5k HCG 36 hours Got 3 eggs, 2 mature, 1 fertilized 1 blasts day 6 4BB Cycle 2: Started priming estrogen cycle day 21 for luteal start for one week. (First 2 days) Letrozole 5mg Androgel 1ml Dextramethazome 10mg Starts injections (every other day) 75 FSH 75 Menopur Antagonist day 14 Cycle was canceled after stiming for 17 days due to poor response. Cycle 3: Primed OCP 4 days (First 4 days) Letrozole 5mg Androgel 1ml Dextramethazome 10mg Starts injections (every other day) 150 FSH 20 LD HCG Started antagonist on day 11 Ovulated through antagonist on day 11 of meds Cycle 4: Primed OCP 4 days (First 4 days) Letrozole 5mg Androgel 1ml Dextramethazome 10mg Provera 5mg Starts injections (every other day) 150 FSH 20 LD HCG Continue with pills the whole time Did this for 10 days and then dual trigger of lupron 80 units and 5k HCG 36 hours We got 2 eggs, 2 mature, 2 fertilized one blast (day 7 4BB) Turned this into a duostims. Started meds back up 5 days later with daily injections. Did 5 days of meds and triggered only 5k HCG 36 hours We got 2 eggs, 2 mature, 1 fertilized 0 blasts Cycle 5: Next we tried Omnitrope. Primed for 6 weeks 24 insulin units a day (First 3 days) Letrozole 5mg Androgel 1ml Dextramethazome 10mg HGH 24 insulin units Starts injections (every day) 150 FSH 20 LD HCG Provera 10 mg Continued this for 15 days. Dual trigger of lupron 80 and 5k HCG 36 hours Got one egg did not fertilize Cycle 6: No priming (First 3 days) Letrozole 5mg Androgel 1ml Dextramethazome 10mg Starts injections (every day) 75 FSH 20 LD HCG Provera 5mg Did this for 12 days, triggered with dual lupron 80 and 10k HCG 37 hours Got 3 eggs, 2 mature, 2 fertilized 1 blast day 6 5AA The goal every cycle has been to increase blasts, but I struggle with a lead follicle most of the time. Using estrogen triggered my endo and so did Omnitrope. I got cysts the cycle we primed with HGH. We switched to provera to prevent ovulation. Also are now using picsi (since cycle 4) and zymot (only cycle 6). My husband has great sperm, but these seem to help.

Dr. Davis focuses on less cost. She does less monitoring to cut down on cost and her goal is to make it more affordable. The same with meds

We plan to transfer two untested embryos once we get 4 blasts.

Dr. Davis oversaw my monitoring appointments for my out-of-town doctor. I ended up spending more time with her than I did at my actual home clinic. She was engaged in my care and the plan and willing to give her input when asked. I appreciated how she had ideas about how to incorporate lifestyle adjustments (supplements, acupuncture etc) into my treatment plan. She clearly cares for the well-being of her patients and it shows!

Take advantage of the fact that she is excellent at explaining the little details of treatment, and ask lots of questions!

Dr. Davis is very kind and reassuring, especially during the initial consult. She’s also candid about your recommended treatment plan and possible success rate. After a failed cycle my husband and I had to push to get answers or ask for a change in the procedure (by scheduling a consult). But once we started talking Dr. Davis was always open to new ideas and made sure our voices were heard. I do love her practice but unfortunately haven’t seen the results I wanted yet. We are planning on staying with her to do our first round of IVF this June 2022.

Express all your concerns, be open and honest, ask questions. She is a very good listener and will truly hear what you want and act thoughtfully.

My first IUI, I took 100 mg of Clomid for days 3-7 then took an HCG trigger shot about 34 hours before my IUI. When I had my transvaginal ultrasound before the trigger my lining was ~9 and I had 1-3 large follicles. She had me on progesterone suppositories (vaginally- Endometrin), 100 mg once daily after taking a progesterone test and because of my history of spotting during my literal phase. I had a negative beta 12 DPO. My second IUI we switched to 7.5 mg of letrozole days 3-7. During my lining check I had 1-3 good sized follicles but my lining was measuring low (I think close to 6). We still triggered and I had the IUI about 32 hours later. Progesterone supplemented again, this time 100mg twice a day after a low progesterone result from a blood draw. Negative beta 12 DPO. Third IUI was the same protocol as the second one but my lining was slightly better, I think closer to 7. Similar amount of follicles. I triggered 4 hours after my lining check and went in for the IUI about 28 hours later. Same progesterone protocol. Negative beta at 12 DPO. After that Dr. Davis had my AMH tested again and it dropped from 1.2 to .87. She recommended moving onto IVF. I started working at Starbucks for their fertility benefits and quit teaching so we could afford IVF June of 2022. After hearing about Endometritis and connecting those symptoms to mine I asked Dr. Davis for her opinion and she encouraged me to try 100mg of Doxycycline twice a day for 14 days to see if that takes away the spotting. I also have the option to get a biopsy but we are waiting to do that next month because it’s about $1000 out of pocket since my current insurance doesn’t cover anything infertility related.

It was about $1,500 for each IUI, out of pocket/without insurance. So we spent a total of $4,500 on IUIs plus an additional ~$1000 of other tests (genetic, bloodwork). Making the total around $5,500.

During our initial consult Dr. Davis said that she prefers to only do single embryo transfers because of the risk of multiples with doing more than one. We haven’t started our IVF process with her yet but I would assume that she would only do a single embryo transfer with us at least for the first round. I understand the risks that come with multiples but I would hope that our doctor would take this protocol case by case, especially with someone with a low implantation rate. My husband and I have been trying for 2+ years, 28 cycles and have o my had one chemical pregnancy.

She has great bedside manner and really knows what she’s talking about. She’s had to adjust my treatment to get my body to respond better and it worked! The only downside is trying to get ahold of her directly. It takes some time for her to call back

Definitely would recommend her! But I would ask as many questions as possible

For my IUIs, the first one I did 5mg of letrozole then the 2nd one I did 5mg of clomid and for the 3rd one I did 7.5mg of letrozole

The egg retrieval cycle plus medication was about $17,000. The transfer not including medication is about $4,000