Seattle Reproductive Medicine

She was very thorough and explained everything in a way that i could understand very well. She went into detail and expained all of my options and let me have a say in what path we took. I am very happy with the treatment I received and the results.

If you want to meet with her, set the appointment ASAP, it takes about a month to see her for anything.

Michelle was warm and welcoming from the minute we met her. She instantly embraced us as a friend of the family which was really comforting. Michelle listened to our journey leading us to her and also talked through what she suggested we do next. She was super optimistic yet also real and made sure we really understood everything thoroughly which we really appreciated.

She was honestly really and truly great! If anything maybe just a follow up message in the portal recalling the conversation in case we lost our notes.

We haven’t started treatment with Michelle Cho quite yet. However during my initial treatment plan she had me get lab work done. It was so convenient and quick. We did 4 rounds of IVF with a different doctor which were all unsuccessful. Due to that and our ages, our next steps are to work on IVF funding & then to schedule appointments for the HSG & Siemens analysis.

I’ve only had my initial consultation & lab work with her so I haven’t received a bill yet. They will submit to my insurance for billing first. The IVF treatment will most likely cost about $20,000 out of pocket for me though. And if we do genetic testing another $6,000.

During our consult with Dr. Lin, he did a great job explaining the IVF process. I came with a list of about 20 questions, and he made sure he hit each one. He explained the risks of IVF, but we left the appointment feeling really hopeful. Our first round of IVF, we used the Antagonist protocol. This is something I wish was explained more to me (the protocols). I think doctors should explain the various protocols and explain why they are choosing a specific one for you. The Antagonist protocol did NOT work for me. I ended up with 1 "fair grade" embryo. I had 14 follicles. Nine of those follicles were of good size. We only retrieved 5. Even the doctor who did my retrieval was a little confused at the results. I didn't get a good explanation - or any explanation at all - as to why that protocol was chosen for me to begin with and why it didn't produce decent results. He was sympathetic that it didn't work well and explained that we would try a different protocol. Again, leaving out the "why". I am now on day 10 of stims, using the Luteal Lupron protocol. At every monitoring appointment, I am behind with egg production as compared to the Antagonist - which is scary. Once again, not much of an explanation. However, I really do believe that he has my best interest and cares a lot about the outcome. It's unfair for patients to put blame on doctors for everything (most of the time). Dr. Lin is really direct. He is honest and truthful, but also sheds hope onto our situation. He has a good balance between warm and real. I do wish I could have him do my egg retrieval and embryo transfer. SRM is just so big...and I haven't seen Dr. Lin in 3 months since our consult.

Don't be afraid to ask questions. Ask for further explanations. Ask "why" for the protocol you are put on.

For both of my IVF cycles with Dr. Lin, I didn't get a reason why he chose them. I am a 30 year old (husband is 30 too) and our only factor is stage 2 endometriosis. TTC for 6 years. IVF Cycle 1: Antagonist Protocol Birth control for 19 days, 250IU gonal-f, 150IU menopur, cetrotide .25mg, pregnyl (hCG trigger) 10,000 units. I stimmed for 10 days. Cetrotide was introduced on day 7. Results: 14 follicles, 9 measurable, 5 retrieved, 2 fertilized via ICSI, 1 embryo (frozen) IVF Cycle 2: Luteal Lupron Protocol Birth control for 21 days, Lupron 10 units was started 2 weeks after being on BCP (decreased to 5 units when I started stims), 300IU gonal-f, 150IU menopur, omnitrope (HGH) 50 units, pregnyl trigger 10,000 units, and progesterone 200 mg. I will be doing a fresh transfer. Results: 18 follicles (or around there). 6 eggs retrieved. All 6 mature. 5 fertilized. 2 embryos made it to 5 day blast. 3 embryos arrested on day 6. 1 embryo was transferred (pregnant!) and 1 was frozen. Total embryos from both cycles: 3

They give you the dates for your suppression check, day 6 monitoring, and day 9 monitoring in advance, so it is not much of an inconvenience. After day 9, they warn you to keep your schedule flexible. Sometimes the appointments after day 9 were limited and inconvenient times, but most of the time it worked out fine because I knew I had to be flexible those days way in advance. It's hard, because the amount of appts you need depend on how you are responding - which no one can control.

We did a 2 cycle nonrefundable program through Attain. That alone was $24,600.00. We spent about $2,000 on bloodwork, consultation, and genetic testing on the day of our consult before we even started IVF. My IVF meds for round 1 through Fertility Pharmacy of America were $4,557.28. For round 2, meds were $5,645.00. Total cost for 2 IVF cycles: $36,802.28 (which under the 2 cycle plan includes transfers until you run out of embryos / until you have a live birth)

He had a strong preference to 1 embryo. I don't think he could be convinced to let us do 2. He educated us as to why, and we feel comfortable with 1.

Dr. Dudley has been extremely thorough. He adjusts his education to our needs and questions; sometimes drawing great charts & diagrams, and other times just talking. He always spends a lot of time with us and he seems to really reference the research, which we, as scientists, appreciate. He weighs the pros and cons of each treatment and gives us sound advice. He is very much of a "western medicine" mindset but is open to other treatment options (e.g. acupuncture); he is really candid and detailed but sometimes talks quickly so it's important to ask specific questions and to repeat them as needed. He communicates clearly to his nurses and they have an understanding of the plan moving forward. We also advocated for him to do some of our US and procedures as we got more thorough answers to our questions.

Be yourself and ask every single question you have.

IUI with Letrozole - less side effects with Letrozole, more tolerable and you get a better response. IUI because of our infertility factors - the combination still placed us at higher chances of IUI working. Did this for 2 cycles because of my response and then added Menopur to last IUI cycle to increase the follicle production because didn't have as good of a response as he had hoped. None of these IUI cycles produced a pregnancy so our next step is IVF - rationale being that we are good candidates and have the potential for a positive response.

Each IUI cycle was $650 with fresh sperm. IVF ranges from $13,000-$20,000 without medications.

We are still discussing this but his rationale for a single embryo transfer is that he'd rather us have one healthy child than be a high risk pregnancy with multiples.

I’m not from Seattle, so many appointments were done over the phone in the beginning. I felt really knowledgeable and confident about the IVF process and what I was getting myself into from the start, as she did an excellent job of explaining things. She also coordinated with local medical facilities to do necessary testing (blood work, ultrasounds etc) where I live which was a huge help (otherwise I would have needed to spend more time and therefore money in Seattle). When I first met her in person I had a sense that I was in good hands she explained what the next few days would entail and what to expect with each procedure. I remember telling my husband “I’m really glad she is my doctor, she really seems to care”. Now, although we didn’t get the result we were hoping for, Dr.Davis called to offer her sincere condolences and had come up with a plan to go about things a bit differently next time to hopefully provide a better outcome. That was nice because it was obviously a really heartbreaking time and when you go through all this, well, when it doesn’t work it’s hard not to lose hope, her calling and saying ok we learned from this and we are going to use that information to give you a better chance next time, that was the little glimmer of hope I needed in that time.

I would just say to write down any questions you have so you remember to ask them, she is really good at explaining things, and if there is anything you don’t quite understand just ask and she will make sure to explain it in such a way that you fully understand it

I don’t remember the exact protocol, but I started out taking birth control pills for about 2 weeks. I don’t recall the exact order or combination, but the other medications I used were menapure, gonal-f, and lupron. Then there was a “trigger shot” right before egg retrieval. I believe this was used based on my age circumstances etc. As this was my first round of IVF it was explained to me that it was a good “middle of the road” dosing regimen enough to stimulate good egg production, but hopefully not so much that it would cause hyper stimulation. This all proved to be true, the problem was I began ovulating before the retrieval so some of the healthier or more developed eggs were lost, I had one embryo make it to day 5, which was transferred. Sadly it did not result in pregnancy. Having seen how I reacted to the medications and what all transpired Dr.Davis recomended a different protocol of medications and an earlier retrieval for the next attempt.

I think the actual IVF was around 12 or 13,000 and the medications were about 3,500 but I don’t remember exactly

It was explained to me that if there were only 2 embryos available for transfer that statistically I would have a better chance of conceiving by doing two separate transfers vs doing both at the same time, however we only had one embryo so it was a bit of a non issue in our situation.

She was willing to modify protocols when we weren't getting the results we wanted. She was comfortable trying low-dose IVF which is something newer on the scene for my situation. She was also willing to run tests proactively given as older prospective parents we didn't want to waste any cycles if we could spot a problem ahead of time that was relatively easy to diagnose such as run a blood panel, genetic prescreen, or hysteroscopy. Sometimes I felt like the follow through was lacking. I asked about some lab stats for example and she never really got back to us with the answers and though this is typical health care system stuff falling through the cracks, it's really bothers me when I have to keep repeating my questions to get answers. Overall she has a style of delivering realistic info in a nicer way.

Be proactive in asking for feedback after tests or cycles because your case will not be automatically reviewed by her.

Our first attempts to deal with my age related diminished ovarian reserve were to try medicated IUI's to help me ovulate a few eggs each cycle. We tried follistim and menopur and I was successful in producing 2-4 follicles of appropriate size each time but none resulted in pregnancy. I also did at one point develop a cyst after doing back to back cycles that necessitated us delaying our next IUI attempt until it resolved. After 3 failed IUIs we discussed trying IVF or a mini/low dose IVF but eventually decided to go with another clinic to pursue this treatment.

IUI's would run about 1200 plus medication costs.

Dr Davis was pleasant, but I felt like just another patient. I feel like because we could “only” afford IUIs out of pocket, we weren’t taken as seriously. I only saw Dr Davis twice during our 4 IUIs - once for a consultation and once when they all failed and she recommended IVF. I didn’t even feel like she was my doctor, really. I felt like my nurse was! All communication was done through the nurse. Dr Davis might respond differently to people doing IVF, but for our IUIs I’d say she was pretty much nonexistent, but nice when we did talk to her twice.

Ask about the communication methods so you’re not surprised to be only speaking with the nurse and monitored by the nurse the whole time. Come with your own questions. Know and trust your body. Make sure you aren’t put through a cookie cutter / one size fits all process. Ask “why” for each and every medication. Ask her success rates for IUI with endometriosis.

I’m 30 (was 28 at the time)...My cycle is normal (26 days), ovulate on my own, all hormones came back “normal”, and the only factor known is stage I endometriosis. I was put on Letrozole (Femara) instead of Clomid because of endo. I used Ovidrel for better timing, and progesterone post IUI to help lining if pregnant. For the 4th IUI, they added a low dose of Gonal-f to try to produce more eggs (I think?). I always had 1 mature egg on my own anyways.

I was quoted $17,300.00 for one cycle of IVF. (Out of pocket - our insurance covers $0.) We paid about $1,000 total for each IUI - so $4,000 total. Smaller fees throughout - such as consultation (which I think is like $250), hormone tests, AMH test, final consultation ...etc.

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Dr. Dudley is warm, straightforward, and transparent. As someone who lives in Alaska with no IVF care and has to travel to Seattle for each round of treatment (as a single mom of a two year old), he is especially great at recognizing the difficulties and challenges inherent in that and is as supportive as possible. Nothing but positive things so say about Dr. Dudley.

Be proactive with the rest of the care team, sometimes they’re not as communicative as I’d like, or as Dr. Dudley makes them out to be. Advice specific to Dr. Dudley? Be really clear about your wants and needs upfront. In my experience he has kept my specific situation at the forefront when determining protocols.

I wanted a natural cycle, which he supported, so we’ve just been doing ovulation testing, ultrasounds + bloodwork to check on ovulation, a trigger shot, then FET. Two rounds unsuccessful and for my third he recommended we add Letrozole during my cycle. We’ll see if it works! He’s confident the issue has been unviable embryos, as they haven’t been tested and I did have a successful pregnancy via IVF two years ago.

I am a queer person but I’m showing up in this journey as a single person. He’s been incredibly mindful and respectful of that aspect of my life (even while not all staff remember), and takes it into account when talking through my protocols. I was referred to him by some lesbian friends who got pregnant under his care and they would have mentioned if he was disrespectful or ignorant about LGBTQ issues!

More expensive than I expected given the conversation I had about transfers when I did my retrieval three years ago. I think transfers are about $3800? And I think a visit with Dr. Dudley was $175?

He recommended single embryo transfer, especially given my age and fact that I’m single with a two year old. I couldn’t agree more!!

Dr Thyer was recommended to us by a colleague who was successful with IVF. Our initial meetings with her were all virtual because we started seeing her during lockdown, after having a bad experience at our previous clinic. She listened and explained options throughout our time with her. I ended up finding out that my egg reserve was low for my age and my chances of conceiving with my own eggs was pretty low. She recommended two cycles of IVF hoping to get 1-2 embryos per cycle. In the end this didn’t seem like the right choice for us and we chose embryo adoption/donation. Dr Thyer performed some tests for me in the clinic and again explained things and was compassionate. We are going to do our first frozen embryo transfer this next cycle so I can’t provide any more feedback about results yet. The one item that I haven’t liked as much is that when Dr Thyer provides statistics about chances she can deliver them very matter of factly. We appreciate the information but the blunt delivery style makes the information, which is already not as good of news as we would like, harder to hear. I would prefer these items be communicated in a softer way. But overall I have been happy with my treatment.

Be sure to watch the videos they send to you detailing the IVF process. These are very informative but are not required for being seen at SRM. (They are at another clinic we checked out.) Be prepared to do some of your own research if your treatment ends up being outside the box like mine was. They have some info on embryo donation/adoption but it wasn’t provided to me until I asked.

By the time we saw Dr Thyer we had already done many other things (natural times, Clomid, IUI, IUI combo cycle) and we went to her specifically to do IVF so there were no other treatment strategies proposed.

Dr Thyer recommends single embryo transfer per cycle, but I know there are other doctors at the clinic who will do two embryos per cycle.

I appreciated Dr. Klein's clinical expertise and warm interpersonal skills. I ask a lot of questions, and Dr. Klein took the time to answer them all. I left feeling like she was able to tell us more than I was able to learn on my own, which was refreshing. I also left feeling like we had a plan for the next steps. For example, after our initial consultation, Dr. Klein referred my husband to a urologist to get more information about our male factor questions/concerns, and suggested I schedule imaging to get more information about me in the meantime. She was responsive and warm in her written communication via the patient portal in between appointments. Dr. Klein also gracefully acknowledged the financial strain and pressure we are under as people who need IVF but don't have insurance coverage. That is a very sensitive and uncomfortable situation, and I felt that she handled it well. I never felt pressured or shamed to undergo any procedures; in fact, she advised me to wait for certain diagnostic procedures so I wouldn't "waste" the money. All in all, I have had a very positive experience with Dr. Klein.

Come prepared to ask the questions you want to ask during your appointments! She will take the time to answer them.

So far, we have only done diagnostic procedures (HSG, AFC ultrasound, bloodwork).

So far we have only done initial appointments and diagnostic procedures. Our insurance covers very little beyond that. I requested an out-of-pocket treatment estimate from the financial team, and they sent me one. It estimated a cost of $15,000 for 1 IVF cycle with a fresh transfer (not including medications or embryo genetic testing). Frozen transfers are $4500 each, so 1 cycle with frozen transfer ranged from $15,000-30,000. They do offer a multi-cycle price of $30,000 for 2 retrievals and unlimited frozen transfers. That also does not include the cost of medications or embryo genetic testing.

Dr. Letterie listened to me and answered the several questions I had. He gave me the treatment that I hoped for which resulted in my ultimate desire, a healthy, viable pregnancy and a beautiful baby. I can thank him enough for his treatment of me as a patient and for the gift of my precious baby girl.

Trust him.

Because my AMH was normal and he saw no other issues, he had me take Letrozole for 5 days. I came in for a baseline ultrasound. I monitored my ovulation at home with ovulation strips. Once I had a positive/peak test I called the office and they had me come to the clinic for a follicle Cece ultrasound. They then scheduled my IUI for the following morning. The procedure went great!

Consultation $250 Blood Draw $15 Carrier Screen $249 AMH $54 TSH $35 ABO, Rh $58 CBC $15 Rubella $35 Varicella $32 Hep B $25 Hep C $30 T Pallidum $30 Herpes Simplex $44 CMV $33 CMV lgM $38 Chlamydia $27 Nucleic Neisseria $60 Enzyme Chlamydia $60 HIV 1/HIV 2 $60 AFC Ultrasound $175 Follow Up Visit $175 Letrozole $6 Sperm $650 FD Ultrasound $175 IUI-Sperm Thaw $125 IUI-Procedure $375 Trigger Shot $210 Sperm Count & Motility $100 Sperm Receiving/Handling $200 Pregnancy Test $60 Pregnancy test $60 blood draw $15 blood draw $15

Dr.Klein helped me through the process detailing through from my AMH level, my tubal blockage concerns, my egg quality, window of implantation issues,embryo quality,nutrition and accupunture guidance. It made us be more prepared during every cycle.

Have patience , its not magic and really takes time. Try asking all doubts and questions if cycles are unsuccessful. I had an ERA test done even though my doc said not must but nice to do. Go with your instincts and try every option available.It turned out I was pre receptive and the test gave answers why I had failures.

I had totally done 2 egg retrievals. My AMH level was very low in my 1st round and I got 13 eggs and 21 in second round. After PGS only 4 viable embryo. I followed my nutrionist to increase my AMH and that made wonders with my AMH going from 0.89 to 2.41. I had 4 embryo transfers. 2 failed and I did a ERA to check my implantation window which gave answer I was Pre-receptive hence the transfer failed. 3rd one they added an extra 12 hour injection for my pre-receptive situation which failed due to embryo quality. Finally the 4th one was a success and we had a baby girl in 2022. I took Accupunture in all my rounds.

My 1st 2 egg retreival cycle and transfer was covered by insurance. My last 2 transfers cost me about 5k each. I also had to pay for my ERA about $1200.

I wished patients had a choice on it they wanted multiples or singles. SRM is particular about single transfer. It worked well for me as I had a tough pregnancy and single transfer was best for my age and health situation.

Dr. Klein was very knowledgeable, compassionate, and responsive. She took the time to call back and talk through complicated or difficult topics. She also showed true empathy for our situation but still told us the truth to get us to our family.

You will probably only see Nancy at your consultation and major appointments where big decisions need to be made. But she was very available via email throughout the whole process.

We tried two different kinds of pills on their own and in conjunction with 5 IUI attempts and 4 IVF cycles. None of them were successful in achieving a live birth. 3 of the 4 IVF cycles were canceled due to low/poor follicle response. The one IVF cycle that went to retrieval did not end in a viable embryo to transfer. We finally purchased donor eggs and the first transfer ended in a live birth!

I don’t recall specific prices. We used fertility insurance for the IVF cycles. We paid out of pocket for IUI’s - I think they were in the $300-500 range?? Maybe less.

I think Dr Davis was very knowledgeable and explained very clearly about the procedures as well as risks and benefits of treatments. I think it would of been helpful to me to talk about timeline of ivf and insurance with ivf in our initial visit. Our expectations as far as a timeframe were pretty different than what was really possible and that caused a lot of stress initially.

I would just say keep doing what you are doing

I think the main reason we were there was for male fertility factor. We would use ivf to get the sperm to the egg. Along the way we found out I had a polyp which could have been contributing to our infertility and contributed to the failed embryo transfer

We went through insurance mostly but had to put down deposits occasionally in case insurance did not cover

I would say set realistic expectations regarding timeframe. Also, when I froze my eggs years earlier I privately paid for that procedure. I later got denied for another egg retrieval by insurance. I wish I would have known that was a possibility as it may have affected my decision making and also saved some time

My husband and I were both so impressed with Dr. Dudley. He would draw diagrams as he would explain things to us, and it made it all feel much easier to understand. I feel like he was thorough in answering questions when we had them, and kept a positive confidence that was very uplifting during a process filled with a lot of unknowns.

Feel free to ask any questions you have. He never made me feel like I was ignorant for even the most basic question, and he explained things so well - I then felt confident I had the tools in my toolbox to be able to explain the process and what I was going through to friends and family.

I had an HSG to ensure my fallopian tubes were not blocked. There was an incidental finding, and it showed I had a uterine septum. So I then had a metroplasty to remove the uterine septum. After 12 months of TTC, we moved on to IUIs. After three failed IUIs, we moved on to IVF. After the egg retrieval, we took a month off - to reduce the risk of OHSS. And when it came time for my frozen embryo transfer, Dr. Dudley gave me all the information I needed to make the decision between a medicated or natural cycle.

During the 21 months, I feel like all in all we spent around $21K - between the uterine septum surgery, the three IUIs, the genetic testing, egg retrieval and frozen embryo transfer.

Since I had had the surgery on my uterus roughly a year before my retrieval, Dr. Dudley did recommend that I only transfer one embryo at a time.

Dr Klein described all the available options to our during our first appointment. After I was diagnosed with endometriosis, she said that IUI could potentially take more time and required a surgery. Since my insurance covered IVF we agreed that IVF is the best and fastest option for us

Do some research and ask questions. She is very knowledgeable and ready to answer them

On the second day of my cycle I started to take birth control pills and continue taking them for 22 days. They adjusted my protocol during this time, since my estradiol level was not low enough. I had to take birth control for an extra week. My protocol included one dose of Medication between 7-9pm: Gonal-F 300 IU & Menopur 75IU. In 6 days antagonist Centrotide started in the morning. I had an egg retrieval in 12 days: 22 eggs got retrieved. Dr Klein mentioned that half of them didn’t survived ICSI due their fragility. But we still end up with average number of healthy embryos after PGS testing

I had an insurance coverage through Microsoft progyny. After my out of pocket got exceeded, I didn’t pay anything for procedure. Overall cost was about 2000$, maybe a little less.

Dr Klein recommended only one embryo to transfer. I didn’t want multiples

Dr Thayer was very knowledgeable and experienced, and gave us a clear picture and confidence in our decisions every step of the way. She set very clear expectations for results based on our situation, while being kind and personable in the delivery, and always presenting options and next steps. She was also very patient with my many, many questions and changing preferences. She also went the extra mile to help - when we were changing our mind last minute about whether to do PGT or not, she picked up the phone and called us to help us understand options and come to a decision, rather than us having to wait to schedule an appointment a few weeks out. Our experience as her patients was about as good as it can get! And importantly, her recommendations and medical work were successful for us. :)

Come to appointments with your list of questions ready (do research in advance, when possible). I often came up with a handful of additional questions after leaving appointments that I wish I'd asked while I was with her. She does an excellent job explaining, but there's so much info and various options, and as a detail queen, I always found more to ask about. Great to prepare before your time with her, as her schedule is busy and she books out a ways.

We did one natural IUI cycle with a trigger shot in hopes that would help the sperm get to the egg, since we had great sperm count but low motility. Motility had improved slightly with vitamins and supplements, and then improved a bit more when they did the "wash" during the IUI. For IVF, she had me on Gonal-F (450 IU) and Menopur (75 IU) daily to stimulate egg growth, and then Cetrotide to postpone ovulation, followed by the HCG shot (5,000 IU) to trigger ovulation. These hormones worked for me to get to about 15 follicles, then 9 eggs retrieved, 8 of them mature, and 6 fertilized into embryos. this was a great result given my low AMH level.

We were fortunate to have costs of treatment covered by insurance.

Dr Thayer strongly recommended a single embryo transfer for us given my age/likelihood of a good embryo, and to avoid the risk of multiples. We ended up having one 5-day embryo on transfer day so didn't have a choice anyway! But agreed with her recommendation.

Dr. Lin addressed my concerns and questions very quickly. He would delegate is nurse to help answer my questions but she was getting directions directly from him. I always had questions and he was always able to provide answers to help me.

I think as with most fertility clinics you will usually be speaking to the nurse who gets directions from the doctor. This was the case but I knew to expect that from the beginning. As long as my questions were answered and I knew answers were coming from my doctor, I didn't mind.

I have low AMH/diminished ovarian reserve and was on Menopur, human growth horome, progesterone, and leuprolide. I was a low responder but that was somewhat expected, given my diagnosis of having low AMH. I had two egg retrievals. The first egg retrieval had in 5 eggs retrieved, 4 fertilized, and 1 embryo developed. That embryo is currently cryopreserved for future transfer. My second egg retrieval had 8 eggs retrieved, 4 fertilized, 3 embryos developed but were all abnormal. I was informed that they were such poor quality they would not even be able to be frozen properly if I chose to transfer them. Due to my recurrent miscarriages I decided not to attempt to freeze them, since the likelyhood of having another miscarriage would be high with those abnormal embryos. Total I have only one embryo that resulted from two rounds of egg retreivals. I have yet to do my frozen embryo transfer due to my cycle being delayed from COVID-19.

I live out-of-state in Alaska, so most of my monitoring was done back home.

I was able to work out two cycles for around $20,000 if I remember correctly, that did not include medication. Medication was very expensive due to my diagnosis of low ovarian reserve and needing higher doses of medicine to help develop my eggs. I believe my first cycle was around $2000 for meds and my second was around $3000 to $4,000. I don't remember the exact numbers. But it was definitely expensive.

My doctor highly recommended from the beginning to do single embryo transfers which I was fine with because it sounded like the best option for both mom and baby.

He is very open and honest about our chances of conceiving. He knows that we are paying out of pocket and doesn’t want us wasting time and money for treatments that may not work. He has an amazing bedside manner that can make me laugh for hours after our appointment or make me calm and hopeful for our future as being parents. He is a great man.

Be up front with how aggressive you want to be with your treatments

I had tried almost a year with just taking clomid prescribed by my obgyn. So when I saw Dr. Letterie we were new to this he first talked about why this could be happening then he wanted to get all my labs ran and my husbands sperm analysis after that he wanted my to start femara on cycle day 3 and have an hsg on cycle day 7 where they check to see if I had any blocked tubes and to clean them out. I would than have a ultrasound to see how my follicles are progressing and than we schedule the “trigger” shot ovidrel and within 24-36 hours go in for the iui where they take the sperm clean it and then insert it close to the Fallopian tubes

$2,500

This was the moment I knew I trusted Dr. de la Torre: She confirmed that none of this was our fault. She did not spew statistics at us like some other doctors might have, but in a reassuring and specific-to-us way she told us that we were doing everything right, and that it's just simply genetics. I didn't realize how important it was to me at the time, but to have a specialist acknowledge this piece of it, to not judge or place blame, its exactly what I needed to hear. It made me feel safe and at ease in her care.

Go see her! Her holistic approach is exactly what I was hoping for in my ideal fertility care team.

I have a diminished ovarian reserve, and my husband has high sperm count, but abnormal motility and morphology. We have been trying for 3 years since I was 30 and he was 31. We were able to get in to SRM the beginning of March 2020, right before the coronavirus blew up. Since we are still fairly young she thought the best way forward would be IUI paired with letrozole days 3-5 of my cycle, an ultrasound to measure follicle size and count, and a trigger shot of ovridel to help stimulate ovulation. We just ended our 1st cycle, which unfortunately didn't end in pregnancy, but we have high hopes for round 2.

We have only completed 1 cycle so far, so the initial consultation, a follow up phone call with the Dr, blood work, ultrasound and the IUI procedure/medicine have cost us about $850 so far. We anticipate another $100-$200 in bills to come prior to starting our next cycle.

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Dr. Klein is compassionate and caring. She listened to our concerns. Dr. Klein took the time to respond to messages and check-in, which we didn’t expect. However, she didn’t adjust our treatment (By increasing our dosage) even after 4 cycles even when it didn’t work.

I would make sure you ask as many questions as possible. Be your own advocate. Don’t be afraid to ask, “why are we doing that?” I wish I would have asked about upping my dosage of medicine in the very beginning.

My husband and I are diagnosed with unexplained infertility and he has a mild male factor. Dr.Klein had us do all tests including an HSG. Dr. Klein wanted to try medicated cycles (with Letrozole) first to see if our timing or my ovulation had been off. We tried that for one month and then because of the male factor, we decided to move to IUIs. We did 4 rounds of IUI on letrozole (but no trigger shot). I was only getting 1-2 follicles and was on a low dose but we didn’t change the dosage. After 4 failed cycles we were set to begin IVF protocols in April but were unable to begin due to COVID-19. Also, we began looking for other clinics in March.

Our IUI procedures were about $650. When we looked at IVF cost, we were going to do two cycles for 27,000 but we have to pay upfront and you don’t know if you will need 2 or more.

Nancy was Very knowledgeable and that made my husband and I super comfortable that we would have success with her plan of action. Nancy predicted it would take us four rounds of letrozole with potential trigger shots and timed intercourse, it took us 3. She was spot on with her recommendations and was very strong in her belief we would be successful which was super important when there is so much uncertainty in this process. I will go back to see Nancy for any future fertility related goals.

Trust Nancy, she is a good patient advocate and has been doing this for YEARS. She is very understanding and knowledgeable so don’t be afraid to ask a million questions. As one of the founders of SRM you are in amazing hands!

I was diagnosed with very moderate PCOS, really just needed to sync my ovulation on regular timing. Nancy was very convinced I would have no issue getting pregnant, looking back I wish I would have listened more instead of letting anxiety take over. She started me on metformin with increasing dosage from 500mg to 2000mg as it has been shown to help women with PCOS, even though it wasn’t medically necessary. She explained to me that it may help, and I was willing to do anything to boost my chances. Since my periods were normal she tried a low dosage of letrozole (5mg) on days 3-7 for the first round. That didn’t seem to get the response from my ovaries so we stepped it up to 7.5mg. One more unsuccessful round in November with a trigger shot (started in October), December cycle we were pregnant with the help of a trigger shot. The process of pregnancy diagnosis and handoff before I went to my OBGYN was amazing. Ultra sound machines are high quality and the nurses were so kind and were happy to answer my questions until my handoff at 8 weeks to my OB. They also ran a blood panel test on my thyroid (standard practice when you get positive pregnancy) and they found it was slightly stimulated, so they started me on a micro dose of thyroid medication which worked immediately. This ultimately helped reduce miscarriage risk in the first trimester which shows they not only give amazing care pre pregnancy but during pregnancy as well.

We probably spent ~$1,500. Our situation was tricky because my insurance through progyny covers fertility care and costs in a weird way, for example you get 2 pies to allot to care coverage and IVF takes away 3/4 of one pie. Since we used drugs and timed intercourse - which was about $50 a round for three sounds, we wanted to have backup coverage for IVF if it was needed since that is $10k. The biggest expense was the $175 ultrasounds I needed 2x per round sometimes 3.

This was not something that applied to me.

Dr. Dudley is good about explaining things so average people can understand it. PCOS is a large umbrella term and he made sure I understood what it mean for me and my body. I don’t as nervous about my first pregnancy and he reassured me it was a very healthy one which made me feel so much better!

Ask all the questions you need too! He will answer anything and everything. If you feel like you don’t know or understand something steps or even reasons for your infertility he does a great job of explaining and letting you take his notes home so you can reread them instead of Having to remember them all.

He started with a basic ultrasound to confirm my eggs were polycystic then he had a series of labs done to check all my hormones and levels. Once those results were in my husband was tested for infertility and we were presented with 2 options IUI or times intercourse while taking letrazole and triggering ovulation with an HCG shot. They preformed an ultrasound days before the trigger shot was administered to ensure my eggs were responding and trigger day changes based on that ultrasound. After three attempts we got a positive pregnancy test!!

It was around 700 each treatment for my husband and myself.

Dr Davis took all of my concerns and helped come up with a treatment that I was happy with. I came for her to help after a miscarriage and 6 months of trying. She understood my urgency for help, as I was over 35 and wanting to speed things up. She wasn’t too aggressive, but also didn’t suggest I should wait longer. I would say the level of help was ideal for me (a round of Clomid along with an IUI the same month).

Go in with honestly about where you are at emotionally and physically. She will meet you where you’re at and offer great advice and treatment.

She concluded I was ovulating on my own, but understood my eagerness to conceive and wanted a little help. She ordered me on the lowest dose of Clomid for a cycle and scheduled an IUI that same cycle after naturally getting a positive ovulation test. She didn’t push any trigger shots on me unnecessarily. Once I went in for the IUI, I received a positive pregnancy test 10 days after the procedure. I returned after 6 weeks so she could confirm the pregnancy with an ultrasound. Everything has been going great now, I’m due in a few months. I’m so glad I went to SRM when I did and didn’t wait on it.

It cost about $250 for the ultrasounds (one to confirm Clomid was working and the other to confirm my pregnancy). The IUI was around $650.

I think his strength is his compassion and patience. He gave us options, asking us what we wanted and what our goals are, so that we can best plan a treatment to work within what we wanted. I feel like we're in good hands with him as our doctor overseeing our treatment.

Prepare everything, such as your medical records and your tracking logs, he'll take the time to look through it all with you, and make an assessment from your experience and your medical history. My gynecologists' records dept didn't get my medical records over to him in time, so I took my copy of the results from my laparoscopy and HSG, and he was able to look through all of that with me and put me at ease about moving forward. I would definitely just gather as much information as you can to help him get a clear picture, then trust it's going to be compassionate conversation.

The first cycle, Dr. Letterie ordered I have the day 3 bloodwork and ultrasound done. I only have to do this once, and then every 6 months or so, not every time, which is nice. I am on 2.5 mg of Letrozole from day 3-5 to help with ovulating. The first cycle I had a positive OPK before I would've need to trigger, so then I just did the IUI the next day. The second cycle, I had a shot of ovidrel to help with ovulation. I have a bit of a short luteal phase typically, so Dr. Letterie had me take progesterone from day 3 until either I get a negative test on day 14 or to keep going if I was fortunate enough to get a positive (which hasn't happened yet). The progesterone has helped me have a longer luteal phase.

Compared to other fertility clinics, the pricing for everything was reasonable. The pricing is all laid out when we talk with the financial advisor. The IUI is under $700 (SA and insertion). The clinic works with a fertility pharmacy that gives them a discount on ovidrel, which is helpful since my insurance doesn't cover it.