Sanford Fertility & Reproductive Medicine

We first met with Dr. Dahl in August of 2018. We were sent to her due to male infertility. She instantly connected with us on a very personal level and made us feel comfortable from the start. She explained all the possible diagnoses, tests, and labs. After going over a complete history with my husband and I she said her assumption is my husband is a cystic fibrosis carrier. We did genetic testing, which confirmed that diagnosis. With the diagnosis of a double carrier for CF, she instantly talked about available options and connected us with urology and a genetic counselor. For my appointments, I was always excited to see her because she made me feel at ease. She always explained to us what the ultrasounds were showing, what medication changes to make and the rationale. We always felt very informed and that she had our best interest at heart. She connected us to all the right medical staff and resources, and felt that overall she cared about us individually and as a couple. She shows great care and compassion for her patients and shows enthusiasm for the job she does.

I would recommend writing down a timeline of your appointments. I kept a notebook that had our appointment and what we did at that appointment, what was discussed, what labs or ultrasound results were, etc. Another thing I would recommend is always writing down questions you have. She is more than willing to answer questions and to take the time to have open discussions about any topics with fertility and health.

The only way for us to conceive is through IVF. The first round I was started on progesterone only birth control due to a clotting disorder we did not want to use estrogen. I had my baseline labs which were all within normal limits and started on Follistim/Gonal F 300 units. I was unable to use menopur due to a dairy allergy. I continued on for 5 days of "stims" and labs all were within the range that was expected, but I had discordant growth with my follicles (2 large and 2 small follicles). At that time we decided to stop with this first round of medications and restart. The second round I did use a birth control with estrogen but then took lovenox injections during that time. I was started on gonal F 375units. On day 3 after labs we increased the dose to 450 units. On day 6 I had 4 follicles, day 8 I had 6 follicles that were all growing at the same rate and appropriate size to lead up to an egg retrieval. After a few more days of stimulation it was time for the trigger shot which we used Lupron. We successfully retrieved 5 eggs, and 3 successfully fertilized. We did PGS testing on our embryos. We had 1 chromosomally normal. We had a different provider do our transfer due to the timing of it, which did not lead to a successful pregnancy. Since then, Dr. Dahl has met with us and talked about the future options and different medication protocols to try.

Overall we feel that the cost at the clinic seems to be average for IVF in our area. They do pair up with ARC fertility so that is an option for patients to look into for "plan" options. We did have some insurance coverage so for us it was best to use our insurance first before using other resources. When you first start with the clinic and before you start IVF they have you meet with the financial counselor to discuss cost and prepayment. We were given a break down of costs for trial transfer, cycle monitoring ( which included 5 office visits, 7 lab draws, some ultrasounds), egg aspiration with ICSI, freezing of embryos, thaw and transfer, and post IVF lab work. Also if you plan to do PGS testing they have you pay part of that cost up front. We did end up having some confusion with insurance, but the financial counselor was so willing to look through each bill, each charge, and even contact our insurance to help make the process run smoother. Even during visits with Dr. Dahl she would mention an approximate cost of testing and let you know if she thought if it was covered by insurance or not. We really appreciated that. We also felt that she would include us in on the decisions and what is best for us to get the results we want and can financially afford.

From the start we primarily talked about a single embryo transfer. She did say it would be an option for us to do 2 embryos but we felt it just depended on our situation and the number of embryos. We only had 1 embryo to transfer so that made the decision easier because 1 embryo was our only option.

Dr. Christensen's greatest strength is how personable he is. The whole infertility process was new for us, i.e. our first cycle/doctor/appointments. He took the time every appointment to thoroughly explain what was going to happen, what we should expect, what typical results would be, and how they would deal with atypical results. This was evident in the appointments up to and including the egg retrieval. Dr. Christensen did a walk through of how the egg retrieval day would go several appointments prior. Then a two days prior, he covered it again with specific attention to how my follicles were progressing, how long they anticipated the appointment to take, and how many eggs they hoped for. He has adjusted my medications to lower amounts to focus on egg quality versus quantity, and told us they hoped to retrieve 5-15 eggs. Day of retrieval, Dr. Christensen met with us before heading to the procedure room, made sure we were ready, asked about any more questions, and seemed just as happy for us to have made it to this day as we were. The procedure (before I fell asleep) was professional and scripted, and Dr. Christensen checked on me frequently. It was very reassuring as the nurses prepped the room. As soon as the procedure was over/I awoke, Dr. Christensen was there, big smile on his face to tell me they had retrieved 23 eggs. But, he also cautioned and took proactive measure to help prevent OHSS as he suspected based on the number I may struggle with it (I did, but not nearly as bad because of the extra care and proactive medications he prescribed). This was the level of care, attention, and investment Dr. Christensen showed throughout our treatment!

Do not be afraid to ask the blunt questions - he's okay to see you cry. He can handle dealing with hormonal/emotional type questions. Don't downplay if you are experiencing mood swings, he's very sensitive to how you react to various medications, and wants to minimize the unnecessary effects as much as possible.

Our overall plan was to first try 3 or so rounds of IUI, and if they were unsuccessful, then to discuss further options. During the IUI cycles, Dr. Christensen chose to use Femara, as in his experience it had better results with PCOS patients. After 2 unsuccessful IUI cycles, Dr. Christensen was the first to suggest our efforts would be better spent exploring IVF than to continue with unsuccessful IUIs. He used how I reacted to the medications during the IUI to predict which IVF medications and dosages to use. He elected to use 150 units of Menopur and 150 units of Gonal F for the IVF cycle. Being I was growing more than 20 follicles, he lowered the Gonal F to 75 units mid cycle to lessen the number of follicles producing eggs. He explained over crowding can cause lower quality eggs, and quality was better than quantity. He prescribed Ganirelix to prevent ovulation, and a Lupron and HCG trigger. Results were 23 eggs retrieved. 18 mature. 14 fertilized through ICSI (due to male factor low mobility) and frozen. We elected to do PGS (our choice, no pressure from the clinic or Dr. Christensen), and 5 tested normal.

2018 Projected Costs (All provided up front to every patient prior to care) Trial Transfer - $566 Cycle Monitoring - $3921 Egg Aspiration with ICSI - $6622 Freezing of Embryos (up to 4) - $1995 Thaw & Transfer of Embryo - $4126 Post IVF Cycle - $442 Additional Embryo Freeze - $200 each PGS (14 embryos) - $3800

We elected to do a single transfer for a number of reasons. First, my age and health were big indicators to contribute to a healthy pregnancy, as well as no previous miscarriages. Second, the embryo physical grade and genetic results indicated high quality. Lastly, the trial transfer was very successful and no problems for actual transfer were anticipated. Dr. Christensen felt that a transfer of multiple would result in a multiples pregnancy. He was very concerned about the health of the pregnancy as well as the health of the mother, and urged us to transfer a single embryo. We agreed.

Dr. Hansen was the best doctor I could have been referred to. Immediately upon meeting with me, he has the type of personality where you felt comfortable. He’s truly rooting for his patients and what they need. He’s funny, but still serious and gets down to business. Doesn’t ever make me feel like I’m in the dark about anything either.

Give him a chance, as he’s the best one I’ve met yet.

When I first met with Dr. Hansen, I shared with him the at home results I had taken prior to setting up an appointment. He ordered an ultrasound and additional blood work to confirm the initial results. He then laid out a plan to just monitor my levels until I decided what I wanted to do. After contemplating donor sperm, we decided to change course and freeze my eggs instead. I was having issues with irregular bleeding & cysts, so he ordered a SIS procedure, which found a uterine polyp. He scheduled prompt surgery to remove that and now we can finally move forward!

The costs are reasonable, and I’m lucky enough that my insurance covers the majority of it as well.

He walked me through every step of the cycle that he treated me for. He scheduled 4 ultrasounds during 1 cycle so we could keep a very close eye on how my body was reacting to the treatments. He adjusted the treatment as needed depending on what each ultrasound showed. I felt like the treatment cycle was very much geared towards me and my needs and wasn’t just a typical protocol that “should” work.

To trust him. He is such a kind and intelligent doctor that really has your best interest in mind

Baseline US day 5: uterine lining 4 mm Clomid 50mg on cycle days 5-9. Entrace 2mg 2x a day from day 12 to end of cycle. US day 13: uterine lining 4mm. Eggs at 11 and 14mm Menopur 75mg x2 on days 13 and 14 US day 15: uterine lining 6mm. 2 eggs at 16mm Menopur 150mg x1 day 15 US day 16: uterine lining 8mm. Eggs at 18 and 19mm Ovidrel trigger shot day 16 IUI day 18 Progesterone lab day 20 Progesterone supplement 2x day started day 20 until end of 1st trimester Positive pregnancy test and singleton pregnancy

Each ultrasound cost ~$250 and the associated appointment was $120-200. The IUI procedure was ~$650. Menopur injections cost $90/75mg Ovidrel trigger shot cost $90

I asked for initial consultation specifically with her, and I thought I was very clear on that request, even during other consultation. It was until almost the last minute (Tuesday prior to egg retrieval on Monday) that she said due to her schedule, she won't be able to perform the egg retrieval, and another doctor will do it. I explained my reasons for choosing her as my doctor, and I listened to her side as well. I was very upset with the change (nothing during IVF process is controllable and I thought I could control at least who will be my doctor - I was wrong).

Ask ask, and ask everything you want to know and the whys. Have a list prior to your consultation and read it to her. Make sure you understand the timeline between first medication and egg retrieval (that is long with her - 35 to 45 days depending on medications and protocol). Ask the geneticist more info about embryo grading (yes you can have it at the freeze step), sperm quality at the time of fertilization, and other info to make your further decisions easy. The nurses are you allies - they are there for you - but expect be seen by multiple nurses (depends on the schedule and their rotation). Ask for your levels at D3 cycle (FSH, AMH, Estradiol) as baseline for your records. Try to not get upset (very hard step) with those changes, and always advocate for yourself.

Besides advanced maternal age, I am a PCOS patient. 1st IVF stim: Birth control pill D3 cycle to D26 Lupron 10IU in the morning D22 to D32 Lupron 5IU in the morning D33 to D40 Gonal-F 150IU (one in the morning, one at night) D33 and D34 Menopur 2 vials in the morning D35 to D40 Gonal-F 150IU at night D35 to D40 10000IU hCG at night 19:45 D40 10000IU hCG booster at morning D41 (my levels were not there, less than 100) Egg retrieval 07:45 D42

16171 for treatment, freeze all, without PGT-A or PGT-M testing or medication. 6000 in medication (depends on protocol) 375 to ship PGT-A samples to genetic lab

Did not have the embryo transfer yet, embryos are going under PGT-M

Dr. Hansen is always friendly and cheerful. He really goes into the details, if you don’t want to hear in details on all side effects or potential issues, you will need to let him know. I liked that he was honest and provided all the details. It was easy to set up an appointment with him, the wait times were short and overall I felt like he is very knowledgeable and is an expert in his field. He also performed a D&C after my loss, he was very companionate and I had no complications. I would definitely recommend him, he is easy to talk to, easy to ask questions from and look for guidance from.

Ask questions if you don’t feel comfortable with the plan. He will answer them all and make changes to the plan as needed to make sure you agree with it completely. He is very open to suggestions, questions and concerns.

I was on letrozole through an OB while I began to see Dr. Hansen. The original plan was to do diagnostic testing, such as US, HSG, blood work to determine ovarian reserve and rule out PCOS. Once my letrozole 3-month plan finished, I was put on Chlomid with an injectable trigger shot, followed by IUI. I did three cycles, with one resulting in pregnancy that ended at 10 weeks and resulted in a D&C. The current plan is to start the IVF process over the next couple of months.

So far with all the testing - about $3500 out of pocket, as many were not covered by insurance, such as SHG. IUIs - 3 months about $8000 out of pocket. D&C - after insutrance $2000 out of pocket. IVF has been quoted at 20-30K.

The Dr. informed me that they do one embryo transfer at a time if under 35, unless there are special circumstances, such as low embryo quality or a condition that reduces implantation rate. Older than 35 the transfer qty could change depending on the circumstances.

Dr. Hansen went through every scenario and option for our particular case. Showed us the outcomes of studies that are for our similar situation. He didn't push us into doing anything we didn't want to. He gave us our best outcomes and we could decide how we wanted to proceed.

Have questions ready for the consultation, he will gladly answer every question. If possible do a semen analysis or lab work that can be done before the consultation in order to figure out what the best plan is to go forward.

We have male factor infertility with low morphology. He was put on a fertility blend to see if that would help my husbands analysis and we rechecked in 8 weeks. It did not improve and IVF is our best option, so we are moving forward with IVF. We did try an IUI between the 8 weeks which was our choice to do so. We did 50mg of clomid with Ovidrel trigger shot. Everything went fine but our chances with IUI were only 2% which Dr. Hansen went over during our consultation so we were fully aware of our chances. We did the IUI for our own peace of mind.

Typical pricing for treatments. Around 20k for IVF; 20-30k IVF with pgd testing, IUI ranges from 600-3000.

Dr. Hansen's approach is single embro transfer especially in women under the age of 35. His goal is a single live birth. But does depend on the patients situation and outcomes of the IVF process.

My body is not very good at growing follicles and he would follow the growth of them each cycle and tell me how many I had and the size of them, good or bad, it usually wasn’t the greatest. But he would always be so honest with me on how each cycle was going to go. He wouldn’t necessarily tell me “no I don’t think it’s going to take this time” but he would say I would need more time before the ovulation shot. When I got ovarian hyperstimulation syndrome he was very quick to respond to my discomfort and my concerns and got everything taken care of very quickly. I feel like he really wants a child to happen for me and my husband.

Tell him your concerns because he will listen. Ask him questions because he will answer them to the best of his knowledge.

Femara 2.5mg, ovidrel 250mcg for 2 cycles. Follistim in increasing doses which I’m not completely sure of anywhere from 50 units to 150 units along with femara 2.5mg (two pills) and ovidrel 250mcg. He also did an HSG to make sure my tubes weren’t blocked. All pregnancy tests were negative and with the iui I ended up getting ovarian hyperstimulation syndrome and had to have 350cc of fluid drained from my abdomen.

I’m not exactly sure what the costs have been. My insurance has been good to provide a decent amount of coverage. I would say my bill has been no more than $2000 out of pocket

Tiffany is very smart, but doesn't break things down well for non medical people. She doesn't have the absolute warmest bedside manner. I struggled to feel as though she was as invested in my journey as I was. Though maybe not intentional I always felt like a number. My husband and I have seen Tiffany in clinic (over the year we have undergone treatment) twice (once because I semi demanded to)... it gets frustrating always seeing NPs and hearing back from nurses.

Be a self advocate. Do not be afraid to ask questions/seek clarification (not matter how annoying you think you are being) and demand good service and communication.

Clomid or letrazole day 3 through 7. Menopur day 9. US and trigger shot. IUI day after.

Our insurance on covered some diagnostic testing. So all genetic testing, intra cycle ultrasounds, medication (oral and injectables), copays for each an every visit and all ART procedures were out of pocket. The have a finance guy, Tyler, who was EXTREMELY unhelpful. I am still not exactly sure what his job is as he didn't help us with understand our insirance coverage or working with our insurance.

Dr VonWald did a lot of research & called her colleagues from different out of state hospitals to review our records and offer advice. She then met with us for over an hour going over everything. Although it didn’t work out we appreciate all the time she put into us trying to be successful. After 8 years of trying she treated us more like family then a patient.

Ask questions - she’s there to answer them

Our last protocol was depot Lupron x3 months- Daily meds included- myo-inositol, cinnamon, coq10, metformin, baby aspirin, Then 2mg estrogen orally TID to thicken lining. Prior to transfer doxycycline daily x3 days and start progesterone oil 1.5ml daily. After transfer cont progesterone, daily meds listed above, and then start lovenox daily and bid prednisone. She was treating for everything- inflammation, blood clotting, pcos and endometriosis.

Frozen embryo transfer (with out meds) was around 4500$. (That’s if no additional tests/ultrasounds were needed) Retrieval with PGS testing 22-27000. With Meds.

Our embryos were PGS tested so they recommended one at a time but were ok if we wanted to do two.

Very knowledgeable. Talked us through everything and made sure we understood what was happening. Would explain what the next steps were and made sure all of our questions were answered. He really cared about us. We were treated compassionately and not like another couple they were trying to just push through. This is a very difficult and delicate process to go through and they made it as enjoyable as possible. I always felt safe and comfortable in their care.

I would say to be ready to laugh. He likes to lighten the mood and sometimes laughing can help with the nerves and a stressful situation.

I was given stems for two weeks and developed 20+ follicles. They retrieved 19 eggs and 14 of them fertilized. We had 9 embryos on the 5-day transfer and ended up transferring one AA embryo. On day 6 we had 4 embryos to freeze. This resulted in a negative pregnancy test. We started birth control the next cycle and are currently in the two week wait after transferring 2 frozen embryos. I am taking estrogen and progesterone shots.

Our insurance does not pay for anything. We have to cover everything out of pocket. I think the only thing I picked up for this whole process that was covered was my birth control pill I had to take to start each cycle.

I really liked Dr Hansen and enjoyed seeing him. He takes his time and answers questions. He is very knowledgeable. My biggest complaint is you rarely see the doctors at this clinic, you usually see the mid levels who are very nice and also do a good job.

Be prepared for you appointments. Do your research, and ask questions about your treatment plan.

The first cycle was long Lupron cycle which was a complete bust. I had one egg retrieved with was found to be abnormal with pGS testing. They felt that the birth control prior to starting meds may have contributed to the outcome. My second cycle was a antagonist with growth hormone. Although it I did not respond well to this either we did have 5 eggs retrieved and fertilized with icsi. We were very anxious that only one of those eggs tested normal but we were able to proceed with transfer! We consider ourselves extremely fortunate to have had a successful transfer, a healthy pregnancy and a perfect baby boy!

Majority of services were self pay

Prior to starting the process the clinic was pretty clear that they encourage single embryo transfer

With my clinic there are 3 doctors you can see during your fertility treatments but my personality meshed the best with dr Cain. She is a very compassionate yet straight to the point lady which I appreciate. This is a very emotional experience and I found some other doctors made me more emotional which I didn’t necessarily like since I like to show my emotions in private. Dr Cain is very straight to the point and answers and explains any questions that we have. I feel like she genuinely cares and will do anything to help her patients yet she doesn’t cross any emotional boundaries. I do understand how some people may choose another doctor at my clinic if they want someone more “warm and fuzzy”. Don’t get my wrong DR Cain is extremely compassionate and I truly feel like she is invested in us and She is definitely my style of doctor but may not be the first choice for others.

She will speak to you as an equal so if you do not understand anything or have questions on certain terms or procedures please ask. She is very good at explaining any questions that we have bc there were times we did not understand terminology, medicine, or what the next steps were.

I do not remember specifics with regards to the exact dosages and medicine. What I do know is that my clinic keeps a very close eye on me and my levels. I never felt like I was not being cared for or monitored. They do recommend accupuncture during your IVF transfer and she was very willing to research the specifics behind it for me.

I cannot recall the exact cost of the iui procedures because they were covered under insurance at that time. For our IVF cycle I believe not including medicine it was around 20k for an egg retrieval and 2 frozen transfers.

I loved how honest Dr. HANSEN was. He took time to explain what was and going to happen. Even if he didn't know an answer he tried to find an answer. He made me safe and with 3 surgeries done with him not including the fallopian test and multiple ultrasounds. He always stayed up beat and positive which kept my spirits up.

It's ok to ask questions. He will answer them and make sure you are comfortable.

We did a lower dose IVF with one ovary and PCOs he did not want to over stimulate. No birth control was used. It yeilded 7 eggs. 5 embroyos, 2 transferred and the remaining died before freezing. It was a negative pregnancy test.

We paid for 1 round of IVF with ICSI, all of the testing, monitoring, and medication and it was around $23,000.

They would at most transfer 2 for my age.

Having her as my doctor was a wonderful experience. She was very straightforward and kind. As stressful as all the doctor visits I had, and all of the injections, patches and pills, I never felt alone. I hope no-one I know will have to go through this hardship. But I would recommend her in a heartbeat.

Don't be scared. You may feel alone, but you're not. I was treated so greatly at sanford, I know you will be too!

My retrieval and first transfer went okay. I was on gonal-f, menopur, lupron at the beginning. I did have to increase my menopur once for the cycle. I took progesterone in oil shots after the transfer along with an estradiol patch. My second transfer was with progesterone in oil, and estrogen pills three times daily.

Most of it was covered under my insurance, but I needed another shot of gonal-f and that was 300 out of pocket because I maxed my prescription cost from my insurance. My second transfer was about 100 dollars all together.

My doctor said for the first transfer, they'd strongly recommend one embryo. For the second transfer they were okay with 2 embryos because they had been frozen.

She’s a very pleasant doctor and always answered questions in a manner that was helpful and informative. I just feel like we’ve been forgotten since our last visit. We almost always had to recount who we were and what we’d done in the past at every visit.

Keep in touch with clients more. This is a difficult road and feeling forgotten doesn’t make us too eager to come back.

We have yet to start working with a lot of medications. To date I’ve had a lot of bloodwork, a saline sonogram, a uterine polyp removal, and several visits. My husband has had two semen analyses. That’s about it

Insurance paid for most of our appointments but not her office visit fees ($250ish). Our insurance does not pay for IVF...which we were quoted around $20,000.

We only ever spoke with a financial counselor about this...not Dr. Cain.

I love that she is down to earth. She understands that this is difficult, time consuming and expensive. I also travel almost 3 hours one way for appointments and she was great about doing as many things at home or scheduling things for the same day when I was seeing her. You don't get to see her every time and I'm ok with that but I knew she looked at everything even when I didn't see her.

Spend time with her, ask questions, let her know your concerns, ask every question you have, do you own research and go to her with everything

First we did 3 IUIs that resulted in 2 pregnancies, 1st ivf cycle was a long lupron cycle, 2nd was a gentle cycle without lupron and my 3rd was more of a mini ivf cycle that we did oral meds with menopause. My last 2 cycles resulted in pregnancies. Unfortunately my 4 pregnancies ended in losses due to chromosome issues which we knew would be an issue because of my age/eggs

In SD we do not have infertility coverage so the cost is significant. My insurance was billed for most of the initial testing but most is not covered. They have a billing expert right there in the office that will meet at anytime and he is great. They do not finance through the office but there are several different option for financing.

She is always willing to discuss this with me. With my IVF we did 2 3 day embryos because of my age but we discussed at length the risks and benefits of 1 vs 2

When we started fertility treatments, we did not know what to expect and unfortunately found that there were many surprises along the way that were not described to us. When we are investing a lot of time and money, we expected nothing but the best. I will say though that since we are starting IVF treatments, we have had a much more positive experience so far (we are in the early stages of this process. Dr. Hansen was empathetic and even made us laugh to ease the tension.

Make sure you are prepared with questions and do not be afraid to ask them and push for answers.

We did 4 rounds of IUI. The first, we took no medication. The following, my wife took Chlomid and then also a trigger shot. By rounds 3-4 we were still doing chlomid but changed to a double trigger as one of the cycles resulted in early ovulation and a delayed period by about 2 weeks

Our insurance does not cover any portion of this so it was all out of pocket. We paid for several tests, medications and the actual procedure. I would say each round of IUI cost is around 3-4K with our first round of IVF being around 20k.

We are gearing up for IUI and plan to do a multiple embryo transfer.

I was happy with my meetings with Dr. Von Wald but recognized that she is extremely busy and that she probably wasn't as involved with my course of treatment as I would have liked. I chose her, not the NPs, but unfortunately I usually dealt with the NPs. She also had very little to offer me in the way of treatment and explanation of recurrent pregnancy loss. I don't think this is her specialty. Although she is busy, she never rushed me through my discussions with her and welcomed most of my questions. She was somewhat dismissive of a couple of concerns I had, such as about MTHFR. But ultimately she agreed to test me for it.

Know that she is extremely smart and you can trust her, but that you may not be able to deal with her as often as you expect. And you will need to push back if you are doubting the advice you get from Angie or Shanna, and request that they confirm with Dr. Von Wald.

She prescribed Letrozole at the lowest dose for the first cycle without results. So in the second cycle she doubled the dose and added a trigger shot. This did not lead to pregnancy. In the third cycle, she took the same approach to the Letrozole but recommended an earlier ultrasound and subsequent trigger shot. This protocol resulted in pregnancy but ended shortly thereafter as a chemical pregnancy.

I paid for the medications, visits, and procedures and the clinic ran everything through insurance.

He was direct and easy to understand. He was also motivated toward success. But he didn't listen to what we wanted and he refused to dig deeper and seek a solution that didn't include IVF. In Sioux Falls you can't get IUI anywhere else ananywhere else and it felt like he knew he had the power to dictate our treatment plan.

If you have limits see Van Wold instead. Always plan for IVF to be a part of his plan of action.

We didn't get to move forward with treatment. He wouldn't sign off on a medicated cycle or IUI. He wouldn't let us try anything except IVF, even though our test results are very controversial as to their conclusivness. We also told him we aren't comfortable with IVF and ignored that.

I don't remember. A couple hundred dollars I think. Billing was pretty easy, the sperm analysis billing was weird. If you paid right away you got a huge discount but I didn't pay Sanford, it was a 3rd party.

We were upfront about not wanting IVF and I mentioned if we were ever to change our mind I wouldn't want to have excess embryos on hand or have a quad pregnancy. He very matter of factly stated to make the procedure cost effective for couples like us, large egg retrevials and multiple embryo transfers were necessary to avoid the cost of multiple procedures and to increase success rates. He didn't care about our comfort or morality, just cost.

I’m so happy that I found Dr. Christiansen. He was a pleasure to work with. He was very genuine during all my encounters with him. He made sure to answer all my questions and ensured I understood everything that was happening with each visit. He also made sure to follow up with written instructions after every visit. He made the process as easy as it possibly could be.

We first tried pills to help, along with a trigger/ovulation injection. Followed by intercourse. After 2 unsuccessful months, he recommended IUI. Same pills and trigger shot, but manual placement of my husbands semen. After 2 unsuccessful months, Dr C recommended IVF. They retrieved 10 eggs from me. 7 of them fertilized. 3 of them made it to day 5. At that point, we elected to do genetic testing. 1 was completely normal, 1 was mosaic, and 1 was abnormal. IN December we transferred the one healthy embryo. It resulted in a positive pregnancy. Unfortunately I miscarried at 19 weeks on April 14th due to a weakened cervix.

The IVF costs (ultrasounds, bloodwork, procedures, etc) was around $20,000.

Was unreasonably optimistic and quoted statistics that were incorrect. Explained risks of treatments and was empathetic. Didn’t have good continuity of care due to clinic set up, which made it difficult to develop rapport with individual providers.

Check your bill carefully to determine if you have had the services you are being billed for.

Clomid, has hyperstimulation with it, cycle was cancelled

He was very knowledgeable and understanding. Answered all of my questions fully so both I and my husband could understand the situation and procedures. We had already been through a lot before going to Dr. Hansen and felt like he was the right choice for us.

Dr. Hansen truly cares for each patient.

We first started out on lower dose Letrozole, that wasn't producing what he wanted so we increased the doasge and I had started feeling nauseous so they also included a medication to help with that. Tried that for a couple cycles before moving on to IUI. We also switched to Clomid when starting the IUI cycles. After that resulted in no pregnancy after a couple cycles we agreed that it was best to do a diagnostic laparoscopy in which they found endometriosis. After my body healed we went back to IUI with no pregnancy after a couple more cycles they recommended moving on to IVF.

I thought the costs were reasonable. Our insurance did not cover a lot but I knew that going into treatment. I thought the price of IUI was fair.

He is so welcoming. Friendly. Makes you feel at ease and not nervous. Easy to talk to and ask questions. Does not talk over your head!! Gives great info but not too much info. Explains risks but not in a scary way

He is great!! You will feel right at home!

We tried clomid with times intercourse for 4 cycles. No pregnancies. Keith recommend us to try another route by gave us the option to be as aggressive as we liked. We tried 3 IUI's with clomid. No pregnancies. We didn't want to continue to waste time and money and he said if we were ready then IVF next route. We did shots along with IVF. We conceived on first round!

15,000-18,000 with medications included in that.

He told us it was our choice. Due to age and our history. Unexplained infertility, he seemed like 2 was a good options for us. He doesn't recommend over 2

Dr. Von Wald helped make a very stressful situation better by communicating what was going on and what the plan of attack was. If something didn't go how originally planned, a new plan was set in place. I felt like I was in good hands that cared about our end goal-having a baby.

Anyone going through infertility, I always tell them that it is a rollercoaster ride of emotions and to always have a person to be able to vent to or get emotions off your chest with.

She watched closely over the dosage of shots to stimulate my ovaries. They took a while to respond, so dosages were increased and lots of ultrasounds were done to make sure I didn't overstimulate

The total amount for IVF was about $20,000

My embryos were in great quality and she recommended just transferring one embryo.