Reproductive Biology Associates - Canton (Prelude Network Clinic)

I felt she was very condescending as if this was my first time and I had no idea what I wanted. She didn’t listen to me or my concerns. She refused to acknowledge anything other than her own knowledge. It was her way or no way. I felt she vetoed anything I had to say.

A consult is a great way to know if you’ll be a good fit for each other. Definitely have a list of questions and do y be afraid to interrupt her to get your questions out there otherwise you’ll never get them answered.

We didn’t do any treatment. The consult was the only contact I had with Dr. Best and I immediately switched to another clinic

I had progyny

Dr. Best has been very kind and compassionate towards us. She has wanted to see us succeed. With both miscarriages, she was very empathetic. She also wants to make sure we are doing everything we can to bring us home a baby. Sometimes I can get frustrated with the virtual visits, because she tends to run late. However, I know she is busy and potentially taking time to be with other patients that need her attention. Overall, I love Dr. Best and would recommend her to others.

Advocate for yourself! Do not be afraid to ask questions, she is very good at responding and making sure you understand.

I have textbook PCOS, so I was on a pretty basic protocol. For the most part, it all “worked”. For my IUIs, I was in oral letrazole and used an HCG trigger shot. I did end up ovulating both times, so it technically worked even if it did not result in a positive pregnancy test. For egg retrieval I was on HCG, follistim, and ganirelex. These worked great for me and got us 34 eggs! Amazingly, I did not get OHSS. For my first transfer, I was on oral estrogen, baby aspirin, progesterone suppositories 2x daily and PIO (5 days before transfer). I did get a positive result, but my progesterone was low, and my beta did not rise appropriately. We upped the suppositories to 3x daily. Unfortunately, this resulted in an early loss just shy of 5 weeks. With my second transfer I was put on the same protocol, but added in lovenox. This resulted in a positive test as well and my beta numbers rose appropriately this round. However, baby was not growing as they should and we lost them at 9 weeks. The last miscarriage was recent and we have not yet discussed any protocol changes for the 3rd transfer. She does want to do some additional testing and an surgery before this next transfer.

It was well ran. Did not feel like it was a “cattle call” they are very busy, but not overbooked. The only overbooking they tend to do is bloodwork appointments. I was always able to schedule it at a good time for me, it did not ruin my schedule.

In the year 2021, we paid $23k in total to RBA. This was for egg retrieval, and 1 FET. Plus copays.

Basically she told me that the odds only go up slightly on getting pregnant. She also told me that she wants my first pregnant to go as smoothly as it can and that multiples are considered high risk.

He explained everything very well. I had to have surgery initially which turned out to just be a uterine polyp but he was awesome and very personable. When was pregnant but my HCG levels hadn’t increased as they should he called me to tell me and did it in a very compassionate but factual way so I understood exactly what was happening. When I had the miscarriage the ultrasound tech was out so he personally did the ultrasound. He remains positive but realistic about the treatments.

This is a long process and you have to be flexible

I am currently in the middle of the last cycle of IUI we can do before having another consultation and moving to other treatments. It’s been straight forward so far: Clomid check- iltrasound, clomid 2 tabs x 5 days then a mid cycle ultrasound and then IUI the day after positive ovulation test.

Clomid check $470 Mid cycle ultrasound $200 IUI $600

Those have not been discussed

My husband and I opted for assisted reproduction after an unexplained miscarriage and inability to get pregnant again. Dr. Best listened to our story with compassion and took copious notes on our issues. She ordered every test in her "arsenal" to try and help us figure out what was going on. She explained the results of the tests and then explained our options (IVF v IUI, etc). I can honestly say that I enjoyed every appointment with her and actually looked forward to seeing her (something I can't say about most doctor visits). She kept my hopes up and was there for me during the difficult moments as well. She is a model doctor.

To be completely open and honest with Dr. Best about your fears and expectations and concerns. I had concerns about having a trisomy baby due to my age and Dr. Best reviewed with me how we could handle such a situation if it arose. She also had referrals to other doctors I could speak with (MFM's). If money is an issue, let her know and she will try to work out a treatment plan within your budget.

I can't remember the exact protocol used, but the first egg retrieval produced a disappointing three eggs so we banked those and did another retrieval that resulted in 12 more eggs! Using ICSI, we then created 12 embryos which we froze until I was ready for a transfer.

We spent about $40,000 for two egg retrievals, three embryo transfers and this includes medicine.

This was something I agonized over quite a bit. Dr. Best was good at showing me the ASRM standard for number of embryos transferred due to age, but she listened to my concern about multiples and helped me reach an informed decision each time on how many embryos to transfer.

I’ve never felt more comfortable with a dr. She told me at my first visit with her to put all the stress on her and for me to relax and I’ve honestly done that for once. I trust Dr. Best because she knows what it’s like to have infertility problems and I know she’s going to help us start a family! She’s very patient and answers all questions and I always leave understanding what our next step is.

Make sure you have your past history all printed out, it helps to have it there to look at when you’re going over what’s next.

I did two IUI prior to Dr. Best so when we went to her I wanted to try timed intercourse to see if my eggs would even respond and they finally did. We did clomid 100 and a trigger shot and both cycles I had 4 and 6 follicles!! We didn’t get pregnant unfortunately because we later found out my husband has a morphology issue so we are seeing the male specialist now and hoping to improve sperm quality and then go back to iui or ivf!

Consult is $250, hsg was around $700 I think, sperm freeze was $650, ultrasounds around $200, husbands ultrasound was $510, IUI is around $1700, IVF starts at $14,500

I haven’t gotten this far yet.

Dr.Best has been a God sent! This is not easy to go through at all! This is such an emotional journey for my husband and I. She has a heart of gold and is always there to answer any questions we have. I feel like she's my cheerleader that's right by my side.

Make sure your paperwork is completed. Make sure your knowledgeable in what your insurance covers for fertility. Go in to the office with written questions. Have an idea of what you're willing to spend. Discuss all questions and be open and honest with your doctor.

I went for ultrasounds and labs. I took Letrozole. I injected hormones for a few days. Once my follicles were of normal size I had the IUI done.

I pay out of pocket. Insurance does NOT cover this. That's ok. We feel that Dr.Best wouldn't have us try anything that wouldn't work. I don't feel like they want my money. I feel like they want to help bless us with our miracle.

Dr. Best is a warm and welcoming doctor. She is very insightful and wants to go over her action plan in detail. Once she has her plan she is on a mission. My low ovarian reserve count and my husband's klinefelter syndrome didn't stop her as it would most doctors I believe.

Do your research and know your options. Dr. Best will let you know but it is better to go in there with the knowledge already so you aren't lost when she is talking terms and procedures.

Dr. Best wants to do two cycles of Egg retrievals then for my husband to have a sperm extraction procedure. After this, we will then fertilize then send off for genetic testing.

Estimated total costs: $52,000

Dr. Best does have a strong preference to only selecting one embryo to transfer compared to multiple. We have expressed wanting to place two embryos in our first trial and she expressed that it does not raise our chances of pregnancy.

Dr. Best is a deeply compassionate and skilled physician. She was familiar with my treatment history before our first visit and had immediate recommendations to improve the chances of a successful pregnancy for our next cycle. I work in healthcare, she is by far one of the best physicians I have worked with and she made me want to do a better job with my own patients.

Trust her. She is spectacular. If you have questions Dr. Best or her staff will make sure you are taken care of -ask them anything.

Lupron down regulation before frozen embryo transfer, Progesterone in oil supplementation during luteal phase versus vaginal progesterone. Successful pregnancy was the result.

Travel, Medications, Cycle fee

We have only had a phone consult to this point due to the coronavirus pandemic. He made us feel pretty good about our chances of conceiving via IVF. However due to the timing of everything we cannot get any tests or start any cycles at this point. So we are just WAITING and it stinks, but I understand.

Due to my age (35) he doesn't recommend IUI and recommends IVF for us so we can also freeze embryos and build a larger family later.

Dr. Best stayed positive and frequently encouraged myself and my husband. She was not just thoughtful but very thorough with her treatment plan. She made adjustments when needed. The blend of her knowledge and positvity while managing your expectations made our experience a great one. We had been through previous doctors however she was truly our “ Monday Morning Quarterback “ she took our history and utilized it and adjusted where needed. After 17 years of trying to conceive, Dr. Best transferred our 1 embryo that is now a 10 month old baby girl.

Trust the process, both good and bad times.

Lupron Gonotrophines

Medications