Reproductive Gynecology & Infertility

As I said before, Dr. Nash is my kind of doctor. I do not want anything sugar coated. I want to know what the problem is and how to fix it. Although there is more to it then that when it comes to infertility, he was able to get all of my husband and my tests completed and discuss the results with us giving us the straight forward answer that we need to go straight to IVF. I really appreciated this as we would not spend more time trying to conceive or money on IUI or other procedures that would not work for our situation. Some people would not like that kind of answer or directness of their doctor but I do. We were given time to process and brought in for another consultation to go over all our questions. He answered each of the many questions we had, explained everything including the full IVF process, the cost, the risks, the possibility of success etc. He is a very kind man as well and I always felt comfortable during exams and procedures. He made us laugh and was always very efficient without making us feel rushed by any means. I would recommend him to anyone. He is very intelligent and experienced. I appreciate all the time he takes with us as a couple and am glad he sees me each time I am in the clinic. I am not passed around to different doctors.

Be prepared if you don't have tough skin to accept that he is going to give you his best medical advice and opinion towards your treatment even if it is not something you want to hear. He is trying to do what is best for you and your wishes to start a family with all of the knowledge, experience and research he has gained over his years of practice.

We went straight to IVF after starting our journey with Dr. Nash. My husband and I had tried naturally for almost 2 years. Dr. Nash diagnosed me with decreased ovarian reserve at the age of 29 and an AMH of 0.92. He also thinks I have endometriosis due to my symptoms but we have not proceeded to do an exploratory laparoscopy as there is nothing we have found abnormal with my uterus. Therefore, we get the eggs out after hard stimulation and bypass the ovulation process by going through IVF. He retrieved 9 eggs, 6 fertilized and 3 embryos resulted. He recommended PGS but we decided not to do that. My husband also has low sperm morphology so we also used ICSI. We also did an ERA to assure my uterus was stimulated correctly and it was through the medications he prescribed me. The first transfer ended in a chemical pregnancy and the 2nd transfer failed all together. We still have 1 embryo frozen currently. We are starting stimulation for another retrieval next month and will be doing PGS testing this time.

IVF was $9500 PGS was $4000 and medications varied in price. Each visit between transfer attempts was $200 if we needed an ultrasound and doctor visit. ERA was $600. Freezing embryos is $150 quarterly.

He does a single embryo transfer. I cannot specifically remember why but I did question this last year and we looked at research together showing why this is being done.

Dr Nash is incredibly thorough and does a good job of explaining options and courses of treatment. He obviously knows what he’s doing which is my top priority. Things move fast in the office. I look at that as efficiency. Still, I haven’t felt rushed by Dr Nash. He always takes care to make sure any questions or concerns are answered. I got pregnant with my son on our second transfer. I went through three more unsuccessful transfers. At every step Dr Nash told us what our options were. We ended up doing another egg retrieval with genetic testing and an ERA to give us our best chance. Dr Nash explained all of those options to us and was there every time something unforeseen popped up to re-evaluate.

Write down any questions you have before going in. It’s so easy to forget things when you’re in the moment.

It is crazy how fast things change. We started with IUI because male factor infertility was not an issue at first. After our second IUI it became apparent that it would be a factor as well as my diminished ovarian reserve. So we switched gears to IVF with ICSI. My first retrieval we ended up with five day five blasts. Genetic testing was not being as widely utilized so we didn’t do it. That’s what I wish I could do over. My first transfer my lining wasn’t thickening so they changed my estrogen protocol and that worked. Our second transfer resulted in my son. When he was a year old we started trying again. After another failed transfer Dr Nash asked us about trying another retrieval with genetic testing. We opted to do the last two transfers instead. Neither took. So we did what Dr Nash suggested and did a retrieval with genetic testing as well as an endometrial receptivity analysis. We now have two blasts and are awaiting a transfer.

$14,500 includes retrieval, genetic testing, freezing and first transfer. Additional FET are $3,500. This includes all appointments, procedures. Medications are extra. I have medication coverage so mine were never more than a few hundred. The ERA ended up being around $1,200 maybe. $600 was the cost of the lab analysis. The rest was for the office visits.

The office very much pushes single transfers. They want what gives the best chance for a healthy mother and baby. I’ll give you from a time/money standpoint that can feel frustrating in the midst of it, but they’ve explained the medical reasons and I get it.

I was very nervous the first time that we met with Dr. Maseelall, I tend to have a bit of anxiety so I'm always a little on edge. The first meeting with her was great, even though there was hard to take information, I appreciated her ability to be compassionate with still being very direct about where our issues are, as well as what our options can be. I have never felt like a number, even though I know that they are so very busy at RGI, I have always felt like Dr. Maseelall knows exactly who I am and what we even discussed at our last appointment.

I can't say enough positive things about her, she's willing to adjust and try our different protocols, she listens to what I have to say, what my concerns are, and addresses them directly with facts. I would say it's easy to be comfortable with her, and trust in her. So ask all of your questions, knowing that there will be an answer, and trust in her.

I have done 2 IUI's, and waiting to move forward with IVF. During the IUI's adjustments from the 'normal' timing were made to fit my cycle. The first IUI went fine, ultrasounds etc was ok. The second IUI, I had a cyst, so there was bloodwork done to see if we were even able to move forward. We were in the clear for that, so next US my follicles were not ready, so we waited 2 days for another US and then were in the clear to trigger that day. We have now discussed IVF, and since we only have one opportunity at this IVF thing due to financial issues, Dr Maseelall was very understanding and set up a plan of attack for an aggressive protocol with stims, and what our options are if we only have 1 normal embryo or multiple normal embryos. We know what will happen next, and what to expect.

IUI was approximately $1,000 - they submitted everything through my insurance to see if there was any coverage but unfortunately my insurance does not provide any coverage for anything infertility related.

Her protocol with PGS tested embryo's is to transfer 1.

Dr.Nash is the kind of doctor you want if you appreciate no-nonsense, clear and concise communication (which is what I appreciate the most). He made a very clear plan for us, which started with uterine fibroid removal surgery. We completed three rounds of IUI with donor sperm and haven't yet had any luck, but when I consulted again with Dr. Nash about "what's next", we felt confident knowing that he gave us multiple options with statistical chances for each option. We intend to move forward with IVF once the clinics are allowed to conduct elective procedures again. I highly recommend Dr. Nash. I am very pleased thus far with our experience.

If you want to know the facts and you are okay with straightforward communication, Dr. Nash is the doctor for you. He is confident in his expertise.

First, I had an abdominal laparotomy to remove multiple fibroids from my uterine cavity. After 6 weeks of recovery, I did 3 rounds of IUI (Clomid and Ovidrel) with donor sperm (my husband was previously diagnosed and treated for azoospermia with no success). We have no pregnancies yet. We will be moving forward with IVF with donor sperm due to this being the highest chance of pregnancy, particularly due to my age.

The laparotomy was covered by my insurance. The IUI procedure was $500/ round, plus $100/ trigger shot through the recommended online pharmacy (I received a 10% rebate each order). 5 Days of Clomid was $20 out of pocket from my local pharmacy. I also ordered 4 vials of sperm from an online donor bank, which totaled about $4400.

Dr. Nash only transfers one embryo at a time for safety reasons. I'm fine with that because I'm going to be a high risk pregnancy.

Dr Maseelall was very direct and clear in explaining to us why we were not getting pregnant. After being labeled as "unexplained" for 3 years by another physician, she sat us down and showed us exactly what our issue was. Although she was direct, at no point did I feel she was apathetic. When our last IUI did not work, we had a consult for IVF where she explained everything clearly and patiently answered all of my questions.

Come into your consult prepared with any questions you might have. I had a list of them, and she did a great job of patiently answering each one until I felt comfortable and satisfied.

I had previously done 2 rounds of Clomid and IUI with a different clinic. She explained that she would like to try one more round of IUI using a different medicine, but if that didn't work we would proceed to IVF. For that round we used the oral Letrozole with a trigger shot and then an IUI. We didn't get pregnant, but we knew that our chances were very low for IUI to work.

A lot of my testing was outdated (about 3 years old) so I had to have a fair amount of testing done to update my records. Because of that we had a large amount of lab costs. We were charged for our consult and the imaging done. I watch our medical charges carefully due to being mischarged in the past at another Clinic, and I haven't seen any charges through RGI that I didn't agree with. Our IUI was not covered, so that charge was an upfront cash fee.

We have not started IVF yet due to Covid-19, however RGI/Dr Maseelall are strong supporters of eSET. We had to attend an IVF meeting where they explained their rationale for this. It was clear, and I agree with that plan.

Dr Maseelall is very kind and compassionate. She not only took the time to diagnose and treat the underlying cause of our fertility problems but she also took the time to get to know us as a couple. Some may view it as a weakness, but I feel that a doctor that truly knows her patients and can actually empathize with them, with what they are going through, is far superior. She gave us honest, straightforward answers to every question we have asked. She has never sugar-coated anything, but has given us the truth and facts in a manner that was easy for us to understand but yet that we grasped the severity of the situation. Every surgery that she has performed on me, I sae her prior to the surgical appointment and then again in the OR prior to being put under. Which, for me, was a huge relief, knowing that she was there. My family is very strong in our faith and we pray about everything. And she has never looked at me like I was crazy or treated me like my faith wasn't just as important as her medical knowledge -which I had had in the past from a previous dr who told me that it wasn't! Dr Maseelall has a very upbeat, bubbly personality which meshes very well with my own personality and that of my husband's. I honestly have not seen any weakness in her.

Go! Don't wait like everyone says. We listened to people -including drs- who said we had plenty of time. That we were still young. But guess what? Those people, those DOCTORS didn't diagnose me with PCOS, and because of that. The waiting just led to a more serious condition - complex endometrial hyperplasia with a-typia. Something that could have FULLY taken my fertility and ability to ever carry a child, had Dr Maseelall not caught it and then treated it with tenacity.

Our very first round, we used lupron to suppress my own hormones. Then I started taking estradiol and baby aspirin. We had to cancel the cycle because I spontaneously ovulated -something I hadn't done in nearly 7 years. She then had me take provera to force me to have a period to shed the lining. When our next cycle was to start, Dr Maseelall discovered that I had developed a cyst so she had us delay the cycle until the cyst disappeared or shrank. We then decided to use letrozole and use my own natural cycle to prepare my uterus and body for an embryo transfer using a donor embryo. I took 4 letrozole pills every day for 5 days. Several days of monitoring my lining growth and symmetry, the size of the follicles I was creating (I produced a total of 5 with 3 growing large enough to actually be released), and then followed by a shot of hCG to trigger ovualtion, followed by 1 week of progesterone shots, an FET using our donor embryo, and then followed by 10 days of progesterone shots.... And a negative pregnancy test. After the test came back negative, we had a heart-to-heart conversation with Dr Maseelall about our options and chances of our 2nd embryo (we only had 2) implanting if we did another round. She suggested doing an ERA test for our next round to see how receptive my uterine lining actually is. So we did it. Using the same protocol we used for our failed transfer. I only produced 3 follicles this time. And the ERA was unsuccessful. The lab said that there wasn't enough tissue to perform the test. With Christmas a month away, we opted to take a month off and to regroup after the holiday. We have not redone the ERA test as of yet because we have been doing a lot of praying and reevaluating, and discussing the possibility of using a surrogate, which we had discussed with Dr Maseelall the last time we saw her.

The legal aspect of securing legal rights for our donor embryos cost $5000 for the 1st and an additional $2000 for the 2nd. Our FET cycle, without the cost of medication, cost $3500. For our ERA round, we paid for bloodwork only, which cost us $40 per stick, for a total of $160.

I am grateful that Dr Maseelall explained to us the reasons why she would only transfer one embryo for us. My health and safety were paramount for her.

Doctor was great. She was involved every step of the way including testing, two surgeries, retrieval and transfer. She was ready to answer questions and help any way she could. When a road block came up during our treatment, she figured out a way to keep things moving and only pushed our time out a few weeks instead of anything longer. She keeps the patient and the situation in mind while doing everything so that her patients have the best chances of getting the baby they so badly want

Come to your appointments with any questions written down. You never know what will come up during your appointment, so having everything written down helps keep your mind on track, and also help if other questions pop up during the appointment so that you don't forget what you originally wanted to ask. Sometimes she can talk fast and move on, don't be afraid to ask her to explain something again, she is there to help so use her to your advantage

Around two weeks of birth control to start. Then 10 days of stims - Menopur and Follistim for all 10 days, around day 5/6 we added in Ganirelix. Day 10 we did the trigger shot as well and 36 hours later we did retrieval. At retrieval we got 12 eggs, 11 were mature, 10 fertilized and on day 5 we ended up with 5 embryos to freeze and transfer later. Being a first timer with IVF I didn't ask a lot of questions on the medications, I trusted that my doctor knew what the best course of action was for us.

Initial testing to determine cause of infertility was sometimes paid by insurance but most times it was not. The price for our IVF cycle was 8,000. We had to pay an extra 1,000 to freeze our embryos since I had to have surgery after retrieval. That price includes retrieval, all monitoring and transfer. Meds were a separate cost. For stims meds we paid about 3,500 for our 10 days of meds. The doctor prescribed them perfectly and we had nothing left over that was wasted, and we had enough to make it through all of our days. Meds for the frozen transfer prep were another cost. I believe those were around $1200. Some of those were covered under insurance so they were cheaper, but the Lupron kit was the most expensive of that process.

Doctor guided us to only transfer one. The risk with multiples is high and since we have two embryos that are graded 4AA we are 100% comfortable transferring one to have the best chances of success

Dr. Zolton is compassionate, while also professional and straight forward. She was so kind while I was in pain during my HSG and she has been nothing short of caring when it comes to my issues with endometriosis. She is easy to talk to and relatable. I would recommend her to anyone.

Just be open and honest about your concerns, she will take the time to make you feel heard.

My husband and I had been trying to conceive for over a year with no success. We knew at the time that I had endometriosis, but this was prior to surgery so we weren’t sure of the severity. She offered both IUI and IVF, while explaining that due to the endometriosis, IVF might be the better option. But my husband and I wanted to take the more natural route first so we decided to go through with IUI. Like I mentioned above, Dr. Zolton was aware of my endometriosis, so she considered this when choosing my oral medications for IUI. She explained that Letrozole is sometimes better for those with endo. During treatment, I felt totally normal. I like to give credit to Dr. Zolton for this because I’m sure it had to be correlated with her choice of medication. Our first IUI failed, so we decided to do another which also failed. At that point, my husband and I decided it was time for ablation surgery for endometriosis. Dr. Zolton works closely with my endo surgeon so I was very happy with the fact that they were consistently in communication regarding my case. I have felt supported all around. We found out during surgery that I have stage 4 endometriosis, in which my surgeons told my husband that it was one of the worst cases they’d seen. We tried naturally for 6 months post surgery, but ultimately resulting in negative pregnancy tests. This was when I decided to go back to Dr. Zolton again to consider IVF. I met with her again last week and it was as though we never missed a beat. She was helpful, warm, and thorough. She explained to me that IVF is probably the next best option for us and felt as though the prognosis is good. We are hopeful. My husband and I plan to undergo IVF with Dr. Zolton in a few months. Fingers crossed!

We spent about $3000 give or take on IUI treatment, not including medication costs. I want to say that was per treatment.

Dr. Zolton recommended single embryo transfer. I don’t have any specific comments or concerns.

Dr Maseelall was very compassionate, kind, and friendly. I came to her for an egg retrieval and transfer. I had done an egg retrieval previously in another State, but I moved to Ohio and wanted to retrieve more eggs so that I could have more embryos to store. I had done my first egg retrieval 2 years prior to the one with her, and I was able to obtain 6 frozen embryos. I had no major fertility issues and was still very young at the time of my retrieval with Dr. Maseelall. However, I didn't get even a single embryo from my cycle with Dr. Maseelall. This was very upsetting and shows some kind of incompetence.

Do not use her

I was treated with Gonal F 225 and Menopur 75. I was monitored only twice throughout the process

$20K

I came to Dr. Bhatt already knowing that my husband has make factor infertility. She was very helpful with running tests to rule out any other infertility diagnosis on my end. She gave me good advice that was grounded in reality and gave me options for next steps in my fertility journey.

Don’t be afraid to ask for any addititional testing that you feel you may need.

Dr Bhatt did suggest moving forward with an IUI since that is the next logical step to help with male factor infertility. When I asked her about me trying a medicated cycle, she was honest and said that would not be a good fit for me and explained why. She suggested we continue working with my husband’s urologist and reach out when we are ready to try IUI.

A lot of the testing I had done there seemed to be affordable compared to other drs offices.

We are early in the process, but so far I feel we’ve been given very thorough information and I felt that she’s taking our concerns seriously and really cares. As it was a telehealth visit, she even had me go get my vitamins and supplements during the appointment so she knew exactly what I’m taking. It’s a small thing, but her offer to prescribe folic acid rather than OTC (as I need a really high dose) helped simplify an overwhelming process.

Ask lots of questions and be prepared with all history- she’s super in depth!

So far (in diagnosis stage for me), bloodwork, a vaginal ultrasound, and HSG. My husband has had bloodwork, a semen analysis, and a consult with a reproductive urologist. All results have been shared with us and between our doctors in a very timely fashion. We also both had genetic screening.

I believe I paid a co-pay for the our first telehealth visit of $45. Bloodwork after insurance was about $60. Ultrasound about $100. HSG about $250.

Others sometimes describe Dr. Nash as simply blunt, but I disagree. I can accept different demeanors from my physicians. What's more difficult for me to accept is someone in such a dynamic field committing to what they learned many years ago without being open to more recent theories and/or advancements. Even in the face of vastly improved results with different treatments, Dr. Nash not only wouldn't budge, but seemed exasperated by my questions. I respect conviction, but when combined with the rushed nature of consults and procedures it can feel very discouraging. In retrospect I feel Dr. Nash really falls victim to the age-trap, which can be statistically supported but doesn't tell the whole story. As an older woman with DOR, beyond some overoptimistic percentages given to me when considering IVF, I haven't yet felt the sense that he actually expects that we might succeed.

See what else is available to you. You might surprised by the quality of care and innovative thinking that is actually available to you at other clinics.

IUI $600 ERA $1200 FET $3550 Embryo storage $600/year ICSI $1500 Embryo biopsy $2000 PGT-A $2000 3% surcharge for credit card payments over $2000

Dr. M is blunt and straightforward, but did communicate with us in a compassionate way when discussing the death of our daughter at 17 weeks last year. She speaks quickly, and it often seems that she assumes that I understand the processes even though we have never underwent fertility treatment. We have only seen her twice virtually, and I have not seen her in person at any of my procedures (IUI, HSG, saline ultrasound, and ultrasounds prior to IUI).

Make sure that you do research beforehand (even though this can be especially challenging to predict treatment protocol) so that you have knowledge to inform questions during the appointment. In my experience, you won't have access to her outside of specific consultation appointments, so it is imperative to ask questions and get details that you need at that time.

Dr. M is unsure why we are experiencing recurrent loss and infertility, and recommended either continuing to try naturally for 3-6 months or an IUI. For the IUI, our protocol included a baseline ultrasound, 50mg of Clomid for 5 days, a trigger shot, and IUI. I feel that it was an extremely generic protocol, and after doing some of my own research, I don't feel that this is personalized for us. For example, I naturally ovulate and expressed concerns taking medication - others have told me that their doctor did not include trigger shot for them and I feel that my concerns were not heard at that time. It feels that the trigger shot was solely for convenience of the clinic rather than fitting my needs.

We had insurance coverage for diagnostic testing, so we had copays for that, but we did not have coverage with any treatments. IUI in total with Clomid was around $1300. Any ultrasounds were $300 each and consultation with the doctor was $200

He is very honest but compassionate and kind. I feel he sees too many patients because he is forgetful and unprepared for consults and follow up appointments. He works very quick and often has you lead conversations instead of him offering advice. He focuses on a science based approach and is unwilling to trial new research without proven results. I believe He is a great doctor for those with basic fertility issues but the more complex the issue the less flexibility for trial and error

Come prepared with your own questions because he will not bring anything up on his own. Do not have expectations of growing a relationship with him. He is very kind and personable but very quick and not the next patient. If you are wanting to try anything beyond a typical medicated protocol, he is not likely a good fit

IVF- follistim, menopur, ganirellix, Lupron trigger Transfer- estradiol, progesterone, baby aspirin, medrol Does very standard medicated cycles

$14,500 IVF round 1 $3500 X 6 for frozen embryo transfers $11,000 IVF round 2 $45 copays for consults ERA x 2 approx $1,000 each

Only recommends single embryo transfer so they are not putting the patient at risk for multiples and high risk pregnancy

Dr. Maseelall has been so incredible. I couldn’t imagine a better person to help us through this process. She always explained things in layman’s terms, was candid/frank but always had a solution if there was a problem or an answer to the possible questions. She went out of her way to stop me in the hall on occasion to follow up and make sure I had my questions answered /everything I needed. I am so grateful for Dr. Maseelall and am so happy to have such a great doctor to go back to next time we want to get pregnant.

Trust the process and take everything as it comes — these people really know what they’re doing.

During egg retrieval, I took follistim and menopur daily for 5 days. On the 6th day I started Ganirelix. On day 11 I triggered with Lupron. On day 13 I had my egg retrieval, 35hrs after trigger. I do not know the rationale for those. My body is healthy and fertile so I believe the idea was to keep it simple. We got 25 eggs, 17 mature, 11 fertilized, and 7 day 5 blasts. All 7 were tested genetically normal through PGT-A testing. For embryo transfer, my first transfer in December we used birth control for 10 days, then 6mg Estradiol daily (2mg 3x daily) for about 10 days, then for 5 days leading up to transfer I took 4mg daily of estradiol, 2mL progesterone in oil and I believe 16mg Medrol. Medrol stopped after transfer but progesterone and estradiol continued through the chemical pregnancy. My betas were 6, 23, 43, 37, 5, 0. In February, my second transfer had the same protocol — birth control for 10ish days, then estradiol 3x daily, then 5 days of Medrol, 2x daily estradiol, and 2mL daily of PIO, then after transfer just estradiol and PIO which I am still currently on at 11 weeks pregnant. Hoping to stop meds next week. This current pregnancy has been healthy with a couple of really nice ultrasounds and fetal heart rates to prove it :) I did/do have a subchorionic hematoma. I experienced moderate bleeding at 6 weeks for two days but have had no bleeding since then. From my 6 week ultrasound to my 9 week ultrasound the hematoma clearly decreased in size and showed signs of tissue healing. I was taken off pelvic rest at 9 weeks but am on extra activity restrictions for the duration of my pregnancy (walking and other light forms of exercise only).

The total cost of everything we’ve done has probably been about $30,000 worth. Luckily I have some insurance coverage but we have definitely paid at least $7,000 out of pocket due to hitting my out of pocket limit on my insurance both years plus covering additional costs that were not covered by insurance for example the PGTA testing was $4000 out of pocket.

Dr. Maseelall is very energetic and positive. She is compassionate about her patients and what she does day in and day out. Sometimes she moves a little too fast, but she has to! She's never made us feel not worthy of treatment or parenting. She's always encouraged us and given us advice based on what she knows to be "best" for us. We believe she truly cares about her job and her patients.

Be ready with questions. Stay firm on getting answers. Be as open as you can be and you will get everything you need from her. Be your own advocate, but not because she won't help you but because you know yourself best and she can't help if you're not up front about what's going on.

The first 3 cycles, she advised we could try "naturally" as we didn't know what my fertility looked like. On paper, she described everything as "good" for fertility. After those 3, she talked to us about using hormones and though I was hesitant, she explained how they could help and that we could try and go from there. We started with Clomid and I responded well to that, but again no results. We then talked about Letrozole and moved to that. Again, no results. At this point we had a consultation about IVF. Me being hesitant, again, she took the time to answer all of my questions about my concerns and my wife and I decided this was the best action. Everything went according to planned, until the genetic testing. She told us this was just "bad luck" and there was no true explanation as to why it didn't work. Dr. M said we can try again, which is where we are currently at in our journey.

I was generally in and out for every ultrasound. I didn't always see Dr. Maseelall for them, it was usually who was at the clinic that was closer in proximity to us on the days that I had to be there.

At this point in our fertility journey, our combined total costs are about $38,000.

Most of our consultations were very productive. She provided us with a lot of information and used visuals to explain things. She took extra time with my husband who wasn't as well versed in the fertility lingo. Weakness is that she moves fast, so sometimes you get news and haven't had the time to process it, but she is already moving towards the next step.

Sometimes she is too positive and chipper. This journey has a lot of ups and downs. Most of the time she is the perfect fit, but sometimes when you are down in the dumps you don't want the pick me up.

Not sure which protocol I was on, but is seemed fairly standard, and added in hgh. I didn't get as many eggs as initially expected, but we didn't get nothing. Continued on basically the same protocol with just some minor adjustments through the rounds and got consistent results. While it of course would have been nice to have had more productive rounds, I don't think either party wanted to mess with what was clearly working well enough.

Pricey

eSET is standard.

Dr. Maseelall has been a breath of fresh air for us. Our old clinic in VA had given up on using my eggs and recommended egg donation. Dr. M was willing to take a chance on us with her mini stim cycle program fully knowing our past results. She has spent lots of time with us reviewing our medical history from our old clinic and talks to us one on one while not at a computer. She is very straightforward but compassionate at the same time. I wish we had been living in Ohio earlier in our TTC process to see her and avoided the year we spent at a large nationwide clinic with offices in the DC/VA area. We currently have one normal embryo frozen and are preparing the transfer.

Don't be afraid to ask questions. She will take the time to answer every single one.

Having a DOR, we opted to do a 3 mini stim cycle program. Knowing we were paying out of pocket, this helped save a little on medication. All cycles used menopur and omitrope with adding in clomid during two of the cycle.

Mini Stim Cycle - $22,500, Meds for 4 cycles $16,000ish, Trio Test $1,000

NA

Dr. Nash is the perfect mix of caring, but also efficient. At our consult I felt like he may have been a little "closed off" in a way in that he was questioning our issues, but as we got to know him throughout our course of treatment, we absolutely loved him. His appointments are very quick, but he will make sure you have your questions answered and feel good about what is going on before he leaves. We actually enjoyed the quick appointments. It meant waiting not even 5 minutes in the waiting room and the examination room before being seen. The man is efficient! There was maybe twice we didn't see him because he was either off that day or sick and we would joke that Dr. Nash must not be here today because we waited for 20+ minutes compared to our usual 5 minutes.

Know that he works fast. He knows what he is looking for at each examine and gets straight to the point, but he will make sure you are taken care of before the appointment is over.

I have a high AMH, but do not have PCOS, so I'm not sure which protocol was used. I can tell you I did a lupron trigger.

Total for meds, retrieval, transfer, ICSI, and PGT-A testing was about $24k.

We were never given the option with 1 vs 2 embryos. With my age and being strictly male factor, I don't think more than 1 was ever an option.

Dr. Nash listens to your needs. I started off as a SMBC, or single mother by choice with my journey in 2018. In 2019, that changed when I met my husband. Dr. Nash went with the change and congratulated us. Dr. Nash was very good at explaining the risks of all procedures. He listened. He gave us a chance when other clinics dismissed us because of high risk. He was compassionate. He set proper expectations. He explained my diagnosis and my husbands diagnosis and why he felt that we pursue IUI and then IVF. He saw us AFTER we concieved, and followed us until 10 weeks when he handed us to our OBGYN. We will use Dr. Nash again.

Be honest with him. Tell him when you don't understand things and ask for clarification. Also, ask lots of questions. He likes that.

We started our journey with Clomid. When I failed a Clomid challenge, and didn't ovulate, we went onto Femara. I had trouble with my cycles being regular, so he advised using Provera for a few cycles. We went onto doing a test called a Saline Infusion Ultrasound or HSG/SIS. This makes sure there are no blockages. From there, we went onto Femara with IUI, and the reason was due to the losses, my pcos and endometriosis. When he did my husbands sperm analysis and it came back low motility and count, we went onto IUI's. He explained there was a 70% chance each time. We concieved on time three.

$200 - Semen Analysis $150 - Consult, Lab Work Fully Covered by Insurance, $200 for Shot in Office, The IUI was covered in full with prior auth to insurance. Genetic Testing Was covered, if we had moved onto IVF, we would have paid out of pocket for PGTM testing, through Natera, which was approx. $5000

N/A

I liked how friendly she was. I've only seen her once, so I can't say much else besides I wouldn't mind seeing her again and getting better aquainted. It is too soon for me to give an honest critique for her, as my opinion could change upon knowing Dr. Maseelall better, but I felt comfortable around her.

Write down any questions you want to remember to ask! Keep a notebook handy, it makes it easier for both doctor and patient.

All I have had done is the first consultation and first labs drawn. Gotta love the phlebotomist, she's a pro!

IVF cycle was $14,600, medicine $4000-$6000, cost of first consult was $150.

Dr. Maseelall seemed very adamant that only single embryo transfers are the best. Can completely understand why, when the risk of miscarriage is higher otherwise, along with other complications.

She is very compassionate and kind and thorough. She thoroughly reviewed my chart and cane up with a plan to help us. After the failed first transfer, she orders a ERA and then sat down and spoke with us about the results and what was next. She also reduced the amount the test was to help us with money. She also said I am first in line when they open again since my second Transfer was cancelled two days before it was to happen due to covid-19

Feel open to ask questions, she is great at answering in a direct and easy to understand way.

I have recurrent miscarriage due to thrombophilia, mthfr factor v Leiden and my husband has low sperm count. We did estradiol, steroid, baby aspirin, PIO shots and a steroid to prep before transfer. For my husband it was ivf with ICSI and pgs testing. For my diagnostics I had lots of blood panels and thyroids stuff, some saline test, hysterioscopy, and ERA test.

$14,000 for egg retrieval and ivf with ICSI and pgs testing and one transfer. Meds were $2800. Then ERA test $750. Then second frozen embryo transfer is $3500. We did not qualify for their baby guarantee program because I have had more than two miscarriages.

My doctor says over 40 you can do 2 embryos.

She is very smart! She knows what she’s doing and she knows the plan of action to take. She takes care of you first to make sure you are healthy and safe before anything else. She did tests on me to make sure I was in a spot to at least start IUI. We went over a plan and goals. I felt like she knew my wishes to have a second child through IUI and helped me in that journey.

Just keep an open heart and open mind the fertility journey can be gut wrenching but the staff has always been there for me

My left ovary is working the best so we are able to get the lost eggs from that side, my first two iuis were not successful. 3rd we changed the dose of letrozole and got 2 eggs but it ended in a ectopic. I felt happy I know I can get pregnant but now I think my only option going forward is IVF

Here price is the same every time for self pay, I know what to expect when I got in there. They can bill clinical things through my insurance but not fertility. She just charges me for ultrasounds and the the actual IUI. When I have got lab work the outside company is always reasonable

She wants you to have a successful pregnancy and is very kind and blunt. She explains risks and has your best interests in mind. She makes you feel like a friend and is so happy if you become pregnant.

Make sure you figure out a way to get all your questions answered, it can be difficult in this clinic because they are so busy.

In 2017, one round of clomid plus iui resulted in our daughter's birth. In 2019 started iui again, 3 rounds of clomid, about 3 eggs ready per cycle, she waits until one is at least 16mm. Then one round of letrozole (one follicle). Then gonadotropins gonal f 150 for 2 rounds, I overstimulated with 7 follicles then 100 gonal f for 2 more rounds. All with negative pregnancy tests. Now she is recommending ivf.

Iui was 600. 200 for each monitoring appt, 2 per cycle with clomid, 3 with gonal f. Gonal f cost about $700 per month

She will only do a single embryo transfer for me since I am 31. This is a problem for us doing ivf because we don't want to have left over frozen embryos. I found another Dr that would transfer 2 for me.

The office is busy, extremely busy so often we waited 20-30 min utes past our appointment time just to be taken back. Otherwise she is calm, patient and keeps you in the know at all processes. Ideally I wish she didn’t seem so rushed to the next patient but understand she’s got to see the next patient

Be prepared to wait.

Doctor explained up front our best result would be IVF and with male infertility explained best result would be ICSI. My drug protocol was never changed for my retrieval. However after a failed transfer we took many months to get things “just right” for a second transfer. We tried oral estrogen, shots, progesterone and finally ended at a natural cycle. I ended with a positive pregnancy on my second transfer

Too many appointments scheduled at one time. Ended up finding out it was first come first seen basis. However doesn’t work when i’m waiting for an accessible exam room

For semen analysis, embryo retrieval and two transfers we have paid ballpark $15k out of pocket. Does not include costs my insurance had covered

Being 36 and cost being such a factor, i wish it was ultimately up to the patient on deciding on single vs multiple embryo transfer. Her office will only do single embryo transfers