Rochester Regional Health Fertility Care (closed)

Dr Hayes was honest about chances and hard truths but compassionate in her delivery. She was very busy, but did always make me feel like I was her only patient in the moment. She did need reminding on what treatments/medications I had not responded to in the past but was again willing to work with me regarding what medications were covered by insurance or with my random work schedule

She has a calm,kind and straight forward demeanor. If you are looking for bubbly, chatty, sugar-coating she is not the provider you are looking for

I did multiple different medications or combinations of medications. Initially, we did clomid with planned intercourse, then gonal f with planned intercourse then moved to gonal f , hcg trigger shot and iui. We had no success after several rounds so moved to menopur injectable and hcg trigger shot. Menopur and gonal-f levels were monitored via estradiol levels to ensure my levels weren't rising too rapidly given my hx of pcos. I did have one course where there was concern for ovarian hyperstimulation syndrome so no iui was performed and I was monitored until levels and symptoms resolved. I have done menopur the last several cycles as the follicles on US seemed to be the most responsive to this medication. I also had 1 exploratory laparoscopy by Dr Hayes to determine if endometriosis was a concern. I always am prescribed metformin 1000 mg bid for the pcos. With the menopur injections and hcg trigger shot I have had 1 positive cycle which ended up being an ectopic pregnancy

With a deductible insurance plan that covered up to and included iui ( did not include ivf or most injectable medications) an average visit cost would be about 150. With an ultrasound - around 200. I was told ivf put of pocket with medications would be ~8000 for the ivf procedure itself and Potentially ~2-3000 for medications. I don't know what the self pay cost for us, iui or just a visit is without insurance

No comment as we did not complete any ivf cycles

Dr. Mroueh is a great doctor. He is caring and shares your goals. He is attentive, and communicative will answer your texts immediately, and get you the best care in a pinch. He won't volunteer information unless you ask which maybe helpful if you get overwhelmed.

I started my journey with Dr. Mroueh after an OBGYN. With any fertility journey, it's important you get educated on your own time. With RRH, Dr. Mroueh's protocols are only fully medicated protocols including birth control and lupron. Fully medicated protocols are beneficial for many and for the clinic for booking and scheduling, but, after a couple rounds, I realized it was too hard on my body. Advocate for yourself and seek emotional support elsewhere, with a therapist and/or a fertility coach. There is little to no family planning, too, talking about long term and what your goals are aside from the usual path of IUI, Egg Retrieval, and Transfer.

I had previously done a few rounds of clomid with my OBGYN, and then was referred to Rochester Fertility Care because of the Rochester Regional Health network. Dr. Mroueh's office, we started with an HSG, a 2 rounds of letrozole, 2 rounds IUIs with gonal-f triggers. The timed intercourse cycles were unsuccessful. My first Egg Retrieval consisted of Gonal-F, Menopur, Ganarelix, ICIS, Egg Retrieval, and Cyopreservation. I luckily was able to retrieve 7 eggs, 5 embryos, 4 matured and frozen. There was a bit of discrepancy in the Embryology department on specifics of these embryos, I was told verbally that there were 3 5-day blastocysts, and 1 6-day blastocyst. Later I asked again and written they said 2 were 6-day blastocysts. The clinic does not grade them, but only freezes "good quality" blastocysts. I had one cancelled transfer due to inadequate lining, and then one unsuccessful transfer following. I didn't realize that with fully medicated protocols that there would have to be a full month between to get your period back. I have since moved to a different clinic to try different protocols that aren't so hard on my body, I feel l like Rochester Fertility Care does a one-size-fits-all and although they do adjust medication to how your body responds to it, many are quite aggressive and really suppress your systems so they have to doubley build it back up with additional medication.

I have insurance that covers 6 IUIs and 3 cycles of IVF

It was more my decision to only transfer a single embryo. They did pass me a note about 1-2 are suggested based on my age.

Dr. Mroueh definitely cares but his attempt to show his compassion often trumped his communicating the plan clearly with me. I initially thought I was in capable hands until I realized he was truly just "throwing darts" and seeing what stuck for me. I was severely under monitored each cycle potentially making every month a futile attempt, and even needed to cancel cycles before we even got started due to side effects from the cycle before. He is not going to volunteer information to you so be sure to do your homework and ask for what you want. I didn't know what I didn't know while working with him and wish I had gotten a second opinion earlier. Was very disappointed to work with him for 9 months and then be encouraged to schedule for IVF - scheduled for an IVF class 2 months out and then would have needed to wait an additional 5 months or so to even begin IVF.

Do your homework, ask for the tests you want/need. This clinic does not do day 3 labwork. Move on if you're feeling stuck. Get on a wait-list early for a second opinion.

I did 4 rounds of clomid with my OB. I started femara with this office and due to limited insurance coverage we did femara + trigger shot + timed intercourse 3 times (1-2 follicles each time) We did femara + trigger + IUI twice (1 dominant follicle both times). I attempted an FSH + IUI cycle but was severely under monitored and became at risk for OSHH (13 dominant follicles) so that cycle was cancelled as well as the following due to cysts/complications. These were not all back to back cycles as I took breaks to recoup money and eventually wait for new insurance to kick in.

I initially paid for a lot of things out of pocket due to my insurance. If paying OOP IUI costs are about $500-700/cycle depending on the meds your on. If your insurance covers ultrasounds you'll be in better shape. Never received confirmation of what IVF would cost as moved on to new clinic and they were not transparent with this information.

N/A

Dr. Mroueh is a top-notch, outstanding doctor. Any time I had questions, he never made me feel like a burden. For every procedure he made sure I was comfortable - and not just at the beginning, he would confirm throughout the appointment that I was comfortable and in no pain. He explained every step of the process.

Definitely make sure to advocate for yourself and your situation! We went too many months before my boyfriend was analyzed and we wish we would've pushed for a workup on him right from the beginning. Don't be afraid to suggest or question other options of treatment to spark the discussion!

We started with medicated cycles which consisted of an oral medication for 5 days, I'd then go in for an ultrasound to check follicles & if all looked well, we did a trigger shot. My dosage for that oral med was always the lowest dosage, so I do wish we would've maybe increased it a little after a couple tries. After no success there, we switch from oral meds to injectable medications + a trigger shot. That first cycle with injectables (which happened to be IUI #3) was unsuccessful. For IUI #4 we increased the dose of the injectable and also added progesterone. IUI #4 was our success!

We were fortunate to have health insurance that partially covered costs. We only did timed intercourse cycles and 4 IUI cycles. Our IUI cycles would generally run us around $500 - $700 after insurance paid their portions. What we paid was a combination of appointment copays, prescription copays, and lab work.

N/A: did not do embryo transfers

Dr. Mroueh is truly invested in his patients. During our consultation, when he delivered us our SA results, we honestly thought he was kidding because his delivery was a bit over the top, he was extremely upset about it which left us leaving feeling like we didn't have much chance at success - but still hopeful. On the female side I also felt a bit overlooked when we would talk. He was always very kind in answering my questions but told me be extra sensitive to my husband and asked more specifically how he was doing. While I appreciated his concern, I felt as if he wasn't actually interested in how I was doing and looked at this as my husbands issue vs something we were going through together as a couple. My husband has very low count and it seemed like he was pushing donor sperm on us before exhausting all other options.

Advocate for what you want (tests, treatment, follow-ups) etc. Sometimes I felt like this practice was running through the set protocols of a standard approach vs being innovative.

Dr. Mroueh did an HSG test for me and then focused mainly on my husband. In retrospect, I wish I had asked for all the other tests that most drs would want before starting IVF (SSH, day 3 bloodwork). I felt like I lost a lot of time having not gotten those done in tandem with my husbands testing.

I believe the cost of an IVF cycle was going to cost us around 12K which included 2 or 3 transfers.

Dr. Mroueh was a phenomenal doctor. He was kind, honest, caring and wanted me to be successful. He always took as much time as I needed at each appointment. He was considerate of how emotionally trying the journey was, informative and took everything into consideration, from work schedules to feelings to finances. He celebrated successes and mourned setbacks. He always returned calls and never let me feel burdensome. He also made my husband feel comfortable during times/testing/conversations that are typically uncomfortable.

Trust his judgment, he knows what he's doing and genuinely wants you to have a healthy and successful pregnancy.

We started with IUI because all of our testing came back normal. He suggested we start with injectable medication (Follistim) because there were studies that suggested they were more effective with preventing miscarriage, and we had experienced 2 already. The first cycle i only produced 1 follicle. Due to only having 1 follicle Dr.Mroueh suggested we try timed intercourse to help us save money. Luckily our insurance covered everything so we proceeded with the IUI to help increase chances. We were unsuccessful so for the next cycle my dose of Follistim was increased. I ended up with several follicles and after discussing possible multiples we decided to forge ahead. His thinking was that even if multiple eggs were fertilized and implanted, due to my history of loss it was unlikely they would all make it, but in the interim they would be creating the hormones needed to hopefully give a boost to hopefully 1 or 2 that would survive. Unfortunately both of those cycles were also unsuccessful. At this point Dr. Moureh thought we should try IVF. He was surprised we had not been successful with IUI and thought at a minimum he could learn more about what was happening by watching the embryos grow outside of my body. We added menopur to the Follistim. 9 eggs were retrieved, 8 were mature and fertilized with icsi (standard practice) and 5 made it to day 5 blasts. We elected to freeze all and do frozen transfers because there is a slightly better chance of success. With my age and history or loss we chose to transfer 2. We prepped for transfer with estrogen and then closer to transfer added progesterone injections, baby aspirin, an antibiotic and an anti-inflammatory medication. After the transfer I was told I could resume normal activities. 9 days later bloodwork confirmed I was pregnant. My hcg was rising but not exactly how it should, so I continued to have bloodwork done until Dr. Mroueh was satisfied the numbers were rising appropriately. I started spotting about a week later and Dr. Mroueh got me in immediately for an ultrasound where I found out I was pregnant with twins. Unfortunately I lost one twin around 7 weeks but the other was born healthy and resulted in my first baby.

I was provided with paperwork which listed an overall price and what services were included. Because of my insurance all I was responsible for was a $40 copay for each visit and copays for meditation ranging from $5-$40.

Dr. Mroueh suggested that we transfer 2 because of my age and history of loss. We had many conversations throughout my treatment about what pregnancy with multiples could mean for both me and the babies. We decided together to move forward with transferring 2.

We felt very confident in and comfortable with Dr. Hayes from the beginning. She is very kind, intelligent, thorough and caring. We put our full trust in her. However, it was not until we got a second opinion after our second failed IVF attempt (15 eggs total, all fertilized with ICSI, NONE made it to blastocyst), that we realized there was so much she failed to do. Despite asking her if any testing or biopsies etc. could be done to determine why our embryos never made it to the blastocyst stage, she said there was nothing else that could be done, and discussed how our options at that point were using donor eggs, sperm, or embryos or adoption. It was not until we had our initial consult with our new fertility specialist at Cornell in NYC (who also sent us for a urology consult same day for my husband) that we realized how much additional testing could be done, especially on him to determine if any male factor infertility is playing a role. After having our last conversation with Dr. Hayes in November, we were crushed. Needless to say, the consult with the new doctor restored some hope of us having children of our own. They also retested my AMH, which fell from 3.5 to 1 during my time with Dr. Hayes, and it’s back up to 2.7.

Make sure they focus not just on the female but on the male. As a patient you should not have to tell them that but it should be prudent to explore ALL causes of infertility or treatment failures.

IUI cycles (done vis local OB/GYN but under the direction/protocols of Dr. Hayes): approximately 3 cycles of clomiphene, 3 cycles with letrizole, and one with injectable (Follistim). All with Ovidrel trigger shot. Rationale for oral meds was my insurance did not cover any of the injectable fertility meds (or any assisted reproductive therapy). For IVF, first cycle was microdose Lupron, Follistim, and Menopur. Second IVF cycle was after AMH was found to be lower at 1 and only five eggs on the first retrieval, so same protocol except Lupron was not microdose, and it was a combo of Follistim and Gonal-F, plus menopur. Doses were a bit higher. Trigger shot of HCG 10,000 units 35 hrs prior to retrieval. First was 5 mature eggs, all fertilized, none made to blast. Second was 10 mature eggs, all fertilized, none made to blast.

$8000 for each IVF cycle due at the first appointment. Since we did I not have embryos to freeze or transfer, we were refunded $2000 per cycle. You are only charged for what steps you actually complete. Plus the costs of some of medications, unsure of the total. Many were donated.

None. We did not make it that far though she mentioned single transfer is the way we would go if all went as planned, which we agree with.

I was recommended to Dr. Hayes by a close friend. She always does a wonderful job at explaining the details of my fertility issues to me, even though some of them are very technical. When I want to know more, or I don’t understand something, she helps me understand. She gives suggestions for coping with the emotional struggles of infertility, and discusses how diet and lifestyle changes can make an impact upon the procedures I am involved in. She is encouraging and supportive, and I always am made to feel like I am the “most important” patient she has, when I see her. I imagine others feel that way too!

I encourage prospective patients to listen first - Dr. Hayes has a gift for explaining processes and results in a meaningful and thorough way. I benefited most when I listened first, and then asked questions. I have never felt rushed when meeting with her, and I always felt she was willing to be sure all my concerns and questions were addressed.

My first cycle, as best as I can remember, was a standard IUI with donor sperm (I’m single!) and this was done very soon after an extensive surgery to remove endometriosis (in which she beautifully fixed my horribly embarrassing belly button that was botched from a previous endometriosis removal surgery with a different doctor!). When it was not successful, we added Femara to the process, and tried again, also with donor IUI sperm. I think there was one cycle in between that we cancelled because I apparently ovulated very early, and it didn’t make sense to “waste” the donor sperm. Then, we used Femara and added an HCG trigger shot. Unfortunately, though everything seemed to look great (follicles, uterine lining, etc.) the cycle did not result in a pregnancy. I needed a bit of a financial and emotional break from it all (especially because I had no insurance and everything was out-of-pocket) so I returned again several months later. Now, I’m on day 1 of a cycle with Gonal-F and HCG, with donor sperm. I was an egg donor years ago (helped me pay for law school!) so I’m familiar with these medications, and I am hopeful that this will be the process that works! If not, I hope to save enough money to do IVF soon. I really appreciate that we have taken a “gradual” approach, adding things as we go, rather than just “jumping” into IVF from the beginning. I really like that we have given my body the chance to “do this on its own,” if that makes sense.

The costs of my appointments depended upon what I was there for. I believe the ultrasound appointments were $140 at most, and actual insemination may have been $160. Some visits were $60 where I was consulting or just meeting with the doctor.

I have not used embryo transfer, but when I joke about twins, Dr. Ros always smiles and reminds me that the goal is one healthy baby. Of course anything more is a blessed bonus!

Dr. Mroueh was always willing to answer our questions. He fully explained every procedure prior, and every step during. He was professional yet human. When our cycles failed, I could feel his disappointment and when it was successful I could feel his joy. It was very bittersweet to leave his care.

Despite the lack of a fancy spa environment or refund packages, the care is second to none.

I completed 5 IUI treatments. The first with clomid and all the others with Gonal F. He added in Endometrin when injectable cycles failed. He offered a laparoscopy when our last iui failed but advised us to go straight to ivf, as any mild issue found in the laparoscopy may be overcome by ivf. He listened to me, as I didn't want to have the surgery. We did ivf twice.. both with frozen embryos (2 embryos each time). As I responded well to the protocol of menopur Lupron and PIO he had me continue the same for the second fet.

Iui was covered by my insurance as were medications for the iui cycle. I had a copay of $50 per visit. Ivf was 8500 for all appts, tests, egg retrievals, and transfers. It was another 2000 for the second transfer and all associated appts. Medication was separate, costing approx 600 altogether.

Dr. Mroueh suggested that we be aggressive and we followed his advice of transferring 2 embryos each time. He fully informed us of the risks of doing so and we felt we made an informed decision.

He is a patient centered physician and treats you like family. When you experience set backs so does he and you can see it on his face. But he will also share the excitement when you finally get that pregnancy. I can't say enough about him as a doctor and the care he provided. Thanks to him we have our miracle baby.

His office is in greece and it may not be as fancy as the other centers in Rochester but the care far surpasses the others.

We used an agonist protocol with menopur and gonal f. Due to ohss after the egg retrieval we did 3 frozen embryo transfers with the first transfer resulting in our daughter.

$7500 for the egg retrieval and $2500 for each FET after the first one which was included with the egg retrieval package.

We were educated on multiple births from multiple embryo transfers. But we did go with 2 embryos and ended up with 1 baby.

She is so amazing. Communicates well. Knowledgable. When one treatment route didn't work, she told me the options and quickly changed routes. I love her! Highly recommend her and the practice. The nurses are wonderful as well.

Choose her! She is awesome and you will not be disappointed. The nurses that support her are amazing and everyone is so responsive and communicates very often with you.

We started with Clomid and when that was not successful, we moved to the follicle stimulating hormone menopur, and timed release. When that did not work for over a year, we went to IVF. So far my first transfer has been successful!

I do not remember. But I do remember he had them laid out pretty clearly or individuals to understand.

No comment.

I cannot say enough about him - he cares SO much about me and my family. After a successful IUI, we lost a sweet baby boy at 20 weeks due to a heart condition. He closed the office for 15 minutes just to tell everyone and they all cried. He then worked with us, NEVER giving up to go through IVF and giving us our dream. I could never, ever say enough about how wonderful he is - I owe him my entire future.

Call now. Right now.

It's tricky because my body did not respond like everyone else's to the meds so he always had to adjust and make a special protocol specific for me. He always knew how to make my unique situation work!

IUIs were covered by insurance. IVF was $8,000

NA

We did an IUI with Dr. Mroueh and he was very open with us through the process and explained everything in detail. We were very comfortable with him and trusted him the entire time. It was clear that it was important to him that we felt comfortable.

Make a list of questions beforehand, because when you receive a lot of information or disappointing news, it can be overwhelming and hard to remember your questions.

We did an IUI with clomid and a trigger shot. We did 5 days of 50 mg of clomid. The side effects were not bad and mainly just hot flashes. The day of the IUI we were informed that we had a very low sperm count after the sperm was washed. We did the IUI anyways just in case, but the results were negative.

The IUI was $630 total including the procedure, the mid-cycle ultrasound and the medications

Dr. Mroueh genuinely cares about his patients and always makes sure my health and safety is top priority, even if it means something disappointing may occur. I am so thankful to have a physician that truly takes his hyocratic oath to heart.

Bring a list of questions to ask. It’s a lot of information at once.

Dr. Mroueh was always very conservative with medication since I responded too well sometimes to certain meds and hyperstimulation became a concern. Based on these risks the last 3 cycles we have done have all been with FET to insure I am healthy, safe, and prepared for embryo transfers.

A cycle of IVF costs $8500. $8000 if you pay cash. Medications costs vary based on availability and your insurance.

I felt that Dr Rosalind was very one sided in treatment options. I brought up a lot of questions regarding ways to increase my fertility naturally, give my body time to work, and it was more of a push forward with $$$ and classes I felt the costs were not spelled out clearly along the way.

Take good notes. Ask questions, multiple time until you an answer. Get real cost breakdowns of every appt and class

She was definitely against tubal removal. And I had to bring up the idea of a separate ultrasound to see how bad the follicles really are.

Because we felt that were costs were not adequately discussed we only started the process and never followed through. Every appt we had it was a mystery how much it would be $$$. In fact I just got a bill for blood work that I was told was 100% covered

Dr. Mroueh is friendly, funny, and personable. There were a few times that we would have appreciated things being explained more clearly (they do this all day everyday, while we don't!), but I would recommend him hands down. He performed most of my procedures, though I did have a few appointments with his partner based on scheduling.

2 IUI cycles with clomid, 4 IUI cycles with injectables - all failed. We are taking a much needed break before deciding if we want to pursue IVF.

All of our procedures were covered under insurance - we were responsible for a reasonable co-pay. The cost quoted for IVF, which is not covered by insurance, was higher than a different clinic that our friends used.

I could ask for a better fertility doctor. He was everything I hoped for and was always full of hope and certainty he could get me pregnant. If I ever had a question he never hesitated to answer in a compassionate easy to understand way. I always left feeling better and knowing what our next step would be.

Don’t hesitate. There is no one better out there is my opinion. I feel so blessed and thankful for Dr. Mroueh and truly feel I would not be holding my little boy if it was not for him.

I began with clomid with no known fertility issues for the first 3 rounds, with no luck switched to Femara. I ovulated early so did not do an IUI that cycle and he then had me go for a dye test to confirm no blockage with all came back great. On to injectibles. 3 cycles later positive pregnancy test and now an 18 month baby boy!

Our co pays took place at the office. Medication and sperm ordering was done through other companies.

He was very knowable about the field, he often quoted recent studies and talked about conferences he was going to. He gave us his cell number so that we could ahold of him if we needed him. He even helped us out with lab work while we were out of state. His bedside manner needed work but he was always very professional. He would explain to me and husband what was going to happen before he would ask me to disrobe. He often knew what was going on in other parts of clinic and tried to be though with each of his patience.

Adavacte for yourself if you have a question ask! Never leave there not understanding or unsure of the next step

Our insurance at the time covered aloud but still we ended up paying 3-5,000 over three years

He was very caring and kind. He answered questions and made me feel like his only patient he was honest and available. My only complaint was that as I was newly diagnosed I did not know what questions to ask. After my lap surgery he did not tell me what stage I was or where my endo was found but he shared everything else and always made sure I was comfortable

Ask questions he will answer

He did not want to waste time on treatments he did not feel would work. He also did not want to do anything he felt was unethical like transferring more than 3 embryos or putting together packages of paying up front for multiple tries.

It was between $7,000-10,000. Just for my IVF procedure but through all of my experience he cut out office charges when he could and sent what he could to my insurance.

He did provide a class on the risks of multiple births and would not transfer more than 3 embryos but did suggest doing more than one.

He is down to earth and easy to talk to. Wonderful doctor who made us feel very comfortable. Put us at ease from day one. Answered all of our questions thoroughly. I would recommend him to anyone! I will be going back to him for future pregnancy plans.

I took clomid on cycle day 5-9 then had an ultrasound on day 13 which showed 3 large follicles. I got the HCG trigger shot that day and returned the next day (cycle day 14) for the IUI.

I had a high deductible health insurance plan so all of my costs were out of pocket. One round of IUI cost around 1200$ including meds and ultrasounds and appointments.

Had a great experience. The only reason we left is because we’re looking at a cheaper option for IVF. He’s a wonderful doctor and we would have stayed with him if he offered cheaper prices for IVF. He was awesome during my miscarriage- we got pregnant in our own one cycle and he took care of me.

Ask a lot of questions

1st round 50mg, IUI. Second round injections IUI resulted in OHSS. 3rd round 100mg clomid IUI. All failed

Insurance covered IUI but IVF would have been very expensive

She was amazing, very thurough and took as much time as needed. She was very genuine and approachable! Very professional! Dr Hayes never gave up when I wanted, she always kept me moving forward. When I wanted to stop she was supportive and I finally got a pregnant. She tried different medication variations to find what was perfect for me

Speak up and always ask questions if you are unsure. She will always answer or get you an answer

I get he was a bit awkward with me being upset. He didn’t have much knowledge or encouragement for anything but the prescriptions such as supplements,accupuncture etc. he is a kind man but I need a more aggressive approach. He never really gave me explanations on anything.

Do a lot of research and have him explain everything

Round one Clomid cycle days 5-9 had 4 follicles and lining was about 7. Did iui with 22million post wash sperm and trigger shot but ended with negative pregnancy test. Round 2 switched to femara to try and get the lining thicker but resulted in a cyst and cancelled iui but never got my period so after being 2 weeks last he prescribes provera to bring it on. Round 3 gonal F injections 9 days of 300 per day and trigger shot with 5 follicles ranging from 22 to 12 lining of 9 and 9 million post wash sperm ended in negative test. I requested an HSG to check for blockages and scar tissue but everything was good. 4th round clomid 5-9 tried naturally and was negative test.

I have no coverage for infertility. I think the costs were very fair for the doctor.

She was extremely conservative with her treatment approach. Given my endometriosis, I felt that we should have been more aggressive. She did not allow me to use injectibles until i tried Clomid for 3 months.

Don’t go to her!

Laproscopy/hysteroscopy/other diagnostic testing Endo found Clomid and IUI x 3 Injectables and IUIx3

Insurance covered my IUIs. For IVF she is very expensive