Seattle Reproductive Medicine

I hated it. I had no idea what was going on and no one including nurses told me anything at all. I felt like I was a dollar sign and nothing more. I would never recommend anyone to go to him. It's a waist of money, time and your Hope's and prayers just get diminished.

I was still in the beginning stages and unfamiliar to ivf itself and I wasnt told any information about the process. I went for testing in my area and was told Dr. Letterie would explain everything to me. Nothing was explained because he didn't even reach out to tell me what my results were. I would never recommend him or the clinic to anyone going through the process.

I did lab work and saline ultrasound test. Nothing was said to me. I didn't know how many folicles I had, if they were good or bad and still dont know. I was told to do lab work and I still have knowledge of what is going on with my own body!

I got a bill from them for $350 still unsure what the amount was for since I never did see the doctor or his nurses so I suppose it was to pay him to look at my lab results

I didn't get this far in the process

Dr Klein is experienced. Knowing what it is like in healthcare, and especially ART, she has a tough job. She has to come along side the couple and believe in the impossible with them but remain objective, analytical, and realistic. Her presence was comforting and she was understanding with each tear, but sensible too. I was disappointed when she wasn’t going to be doing our harvest but the rationale made a lot of sense. I would have liked to hear from her after the harvest but I have a good connection with her nurse so that worked. Also, Dr Klein was very responsive to my portal questions, even during off hours. Those little things were noticed and appreciated.

Try to put yourself in her shoes when you are tempted to feel slighted. Emotions run high for her patients and she has to walk a careful tightrope to make us happy. Dr klein’s Experience shine through her work. She (and her team) has done everything with in power, knowledge, and skill to set us up for success as far as I can tell. I know we are in good hands.

Fairly standard IVF for a 41 y/o female using own eggs to create embryo(s) for transfer to a GC.

Can’t remember

Nancy has always been gently and compassionate, but thorough in her explanations and delivery. I am a big question asker and she is always ready to answer and deliver news in a way that works for me. I’ve never felt like her approach is one size fits all, and I’ve always felt good leaving her office.

Tell her what you need from her from the beginning, and that is what you will get.z

We started with Letrozole IUI and when 2 didn’t work, moved to menopur for 2 or 3 more. I over responded for one of those, was advised of the risk of multiples and we decided to proceed. We tried one more round this way and we’re not Successful. Nancy understood my financial contrraints and helped us qualify for a clinical trial at no cost. This was the RITA double blind trial. I did end up responding to the study, and used the antagonist ganirelix, but we only ended up with one out of 5 viable embryos. It arrested by day 5. We met with Nancy immediately after the failure and she explained what she had learned about how I responded and what she would like to do differently next time. She assures us that this trial would not be indicative of our next cycle and even said she wanted to consult with her colleagues to make sure they found a protocol better suited. We took a few months off, used Letrozole and timed intercourse and just had our 6th and final failed IUI. We weren’t ready to jump back into IVF.

The costs of the IUI were close to 800 per cycle. Nancy was mindful of our budget and prescribed meds accordingly. The clinical trial was free, and they will discount our next IVF due to the fact that we were not successful. (That was not a part of the study)

It would be nice to have a check in from the doctor besides hearing from our fertility coordinator (nurse) when we are initiating a new cycle. It was nice to see her doing one appointment for a procedure and she walked me through the entire process.

Ask whatever questions or concerns you have and she’ll provide resources

I felt that they were listening to my concerns since I’ve had a child from a previous relationship and was concerned about hormone meds. They allowed us to do a natural iui as we requested and provided all the information and answers for the follow up medicated iui if needed. Dr Klein and her team were quick to answer emailed questions for confirmation.

Communication with the clinic directly regarding estimated costs were not reliable. However, our insurance was able to cover most of our fertility treatments.

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Dr. Dudley isn't the warmest person, but he is knowledgeable and recognized our health concerns and was quick to be reassuring. It would have been nice to have had a bit more contact (just one consultation, no phone calls/emails), but I understand he may be more likely to focus direct contact on IVF patients or patients with more complications.

Don't expect a shoulder to cry on, but you will have a knowledgeable doctor who can clearly explain what to expect out of the process.

Because he couldn't identify anything that stood out as a cause for infertility, he had us do IUIs. We ended up doing 3 non-medicated IUIs (just with Letrozole and Ovidrel) and 1 medicated IUI (with Letrozole, Ovidrel, Menopur, and Prometrium). The medicated IUI was because he thought I had responded well during the non-medicated IUIs, I just wasn't successful in getting pregnant. Still waiting on results from the 4th IUI.

The total amount I've paid out of pocket for 3 non-medicated IUIs and 1 medicated IUI has been approximately $3,000. IUIs themselves are $650 (with a fresh sample). The new patient consult was $250 but it was covered by my insurance. Ultrasounds were $175 but most of that was covered by my insurance.

Unknown.

Dr. Dudley is incredibly knowledgeable and caring. He has gone the extra mile to help us find answers to questions we have had for years. He has also gone out of his way to be at every appointment and performed my D&C when I had a miscarriage, even though he wasn’t scheduled to do surgery that day. He has called me personally to deliver results and has made both my husband and I feel hopeful in some very challenging times. I would choose Dr. Dudley every time and feel so fortunate that we have been under his care.

Be on time for appointments. He is very good at running right on time (huge bonus!).

We initially saw Dr. Dudley to undergo testing for repeat miscarriages. He ran all the pertinent labs, had us complete chromosomal and genetic testing and performed a hysteroscopy to r/o any uterine scarring due to repeat D&Cs and a c-section. We ended up getting pregnant just before we started interventions to get pregnant. Unfortunately, we lost our baby at 10 weeks. The silver lining - we had the best care we could have asked for and have gotten answers to why we lost our most recent child. Because of this, we still feel hopeful that we can conceive again and will definitely be continue working with Dr. Dudley through the rest of our fertility journey.

Between our labs, tests and different procedures, we have already met our out of pocket maximum (>$5,000)

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Dr. Lin is straight forward! Some patients may not like this process during fertility treatment; however, as a fertility patients for several years your doctor should be straightforward. Anytime during a failed treatment he would reach out via message to check in on me, which I appreciated. He even will message on the weekend (assuming) you have labs or outcome results on a Friday! As I previously mentioned Dr. Lin goes above and beyond for his patients.

If you are looking for a doctor who is caring, compassionate, understanding, smart, well diverse in both medically and surgically, straightforward and will get you knocked up Dr. Lin is the doctor to see. I choose Dr. Lin as my first treatment was to undergo a myomectomy prior to fertility treatment. Not only is Dr. Lin a fertility specialist but he is also surgeon. It was nice to know Dr. Lin treated me for all my surgeries to include emergency surgery and fertility treatment.

Initially, I started with regular IUI treatments until my ectopic pregnancy which resulted in removal of my left tube. I took a few months break to transfer into IVF. During my first round of IVF I took Menopur and Gonal F. Second round of IVF I was prescribed a hormone medication (can't remember the name of the vial) but the price was $. During this treatment I also took Menopur and Gonal F. Due to my diminish ovarian reserve my second round was canceled due to poor response. My third round of IVF, we transferred into a mini stim IVF cycle instead of regular IVF, which used menorpur and gonal f but a lower dosage. I ended up having a miscarriage due to this cycle (again due to my DOR). Throughout my treatment it was noted the best option for me was to switch to donor eggs which only included Estrace and Endometrium!

My insurance does not cover one penny at all. Therefore, everything was out of pocket via credit cards! Treatment includes several IUI, IVFs and now donor eggs. Currently I'm looking at a little over 90,000

Dr. Lin will choose the best decision with single or multiple depending on the patients history. In my case, since I had tubal removal along with myomectomy for my safety it was best to only transfer one.

Dr. Criniti put us at ease from the first consultation. She gave us lots of good information and always patiently and non-judgmentally answers my questions (and I have sooo many!). There have been two moments during the journey that I've felt really upset, stuck and not sure what to do next and both times she called me back the same day even though her nurses said she wouldn't be free for a few days! She makes me feel really listened to, cared about and she validates our hard experiences and decisions. The only downside is she works for a busy clinic and many of our interactions have been with nurses or other providers.

If you are looking for someone that will compassionately listen to your concerns and fears and who is willing to collaborate with you during this difficult journey then Dr. Criniti is a great choice. I would recommend advocating for phone calls or in person visits on a regular basis to have conversations with her directly when messaging with nurses doesn't answer all of your questions.

So far I've been on a very typical treatment progression of using letrozole and then letrozole plus IUI. I've asked her about getting more aggressive with the next IUI (adding a trigger shot, injectibles etc.) and she thoroughly explained the pros and cons of each of those additional treatments and why they might not make sense in my particular case but ultimately she leaves the decision up to me which feels empowering. She did acknowledge changing something up after a failed cycle can feel important to a lot of patients and even if trigger shots don't lead to an increased pregnancy rate for IUIs (for someone who consistently has good results with OPK strips), she seemed very open to me trying a trigger shot during the next IUI cycle if I want to.

The initial consultation was around $300 (I think). Pelvic ultrasounds are: $175, IUIs are $650, HSG was $800.

Dr letterie is knowledgeable and humbly confident. He explained what the process would be for us, expectations, and answered all of our questions. I would highly recommend him to anyone in the area. He was very intentional about our comfort level, our desires, and how aggressive we would like to take treatment, so he could make the best recommendation for where we were at in life.

If you are looking at Dr. Letterie for treatment, I would ask him as many questions, be honest with where you are at because he will use that information to guide the conversations and all your options. Grab copies of the notes you take together because him pictures and bullet points are helpful to look over when you aren’t so overwhelmed with the information.

Dr. Letterie began with looking at our other paperwork from what we’d used before, family history, and a conversation about how aggressive of a treatment we wanted to begin with. We chose IVF to be the route we wanted to pursue with him. He did blood work on myself and husband, diagnosed me with PCOS. We first met for an initial consultation at his Tri-Cities office and then we did a follow up appt the next month (he comes for two days, once a month). On the second visit, he went through treatment strategies and expectations for what is next steps including when we’d expect to have to go to Seattle. The treatment plan chosen for us was a low dose of gonal and metapur, and then when retrieval takes place, expect that my uterus will be hyperstimulate and the eggs will most likely need to be foxes and I’ll have to come back in for insementation. He connected me with his nurse, who answers all my questions and supports along the way. Currently, we are in the middle of our 1st cycle.

The visits with Dr. letterie were covered by my insurance, the medication and procedure were not covered. They gave me a cost estimate was updated. Medication $3,100 Treatment $10,875

Dr. Letterie only does eSET, he believes this is the most ethical way with our technology and what studies show. He will not do multiple embryo transfer.

Dr. Dudley is Kind and compassionate. He explains things so we can understand what is happening. He answers all of our questions and even draws simple diagrams to explain how different procedures work with my body. He is candid and will tell you the truth ina professional but realistic way. He works well with nurses, medical assistants and financial planners at the clinic. I trust his ability as a fertility specialist at Seattle Reproductive medicine. He is also timely and rarely is late for an appointment. I like having our conversations in his office rather than a sterile procedure room.

Be prepared for honesty. But in a compassionate way.

Started with letrazole on day three and took until day five. Went in for ultrasound. Follicles looked good each time. Returned the next day for insemination. Did this protocol three times. All Three rounds I did a trigger shot. I think gonal f. All looked good on paper, it just didn’t take. We were prepared for that to happen.

It’s very expensive. We have had to put our IVF on hold to try to figure out how to pay for it. Some procedures were covered by insurance.

Since we are about to start IVF Dr. Dudley mention the possibility of transferring two embryos because of the adenomyosis. I agree with this approach.

In 3 cycles we achieved pregnancy, so his protocol worked. He is very straighforward and tells you exactly what he thinks you should do. I wouldnt say he is a overly comforting person, but he did get the job done.

I had prior fertility attempts with a previous clinic. We started with bloodwork and a hysterosalpingogram and all came back good. We did one round with Femara only, which produced 1 egg (similiar results to the prior 10 or so rounds with previous clinic) and did an IUI with trigger, with a negative result. We then added 3 shots of Gonal F to the regimen, and after a follicle check decided to add 2 more days. This resulted in 3 eggs, and we did another IUi with trigger with another negative result. on our 3rd attempt we did 5 days of 7.5mg Femara, and 5 days of 75iu Gonal F, which resulted in 3 more eggs and did and IUI with trigger which resulted in a twin pregnancy. His rationale seems to be to start slow and build as we see results so we are using the minimal amount of intervention.

Alot of it could be covered under insurance. The actual medication, and IUI related costs were less than I thought they woudl be, and on your fist visit you sit down with a financial planner person and go over all of the costs.

She was straight forward giving all the information that we needed in order to make the best decision for us. It was a long road for us: wrong diagnosis by another clinic, testing, IUI (2) and finally frozen egg retrieval for PGS testing and natural transfer. I was expecting the worst during IVF. She also did IVF so she knows what you are going through. Not many clinics offer natural transfer and I loved that she considered it an option. I was mostly in contact with her nurse, Rebecca, which I completely adored. She was constantly calling me and checkin how I was doing not just physically.

Have an appointment with her and see if she is right fit for you, as with any doctor.

Gonal-F 225 IU, and Menopur 75 IU. Ultrasound monitoring for growth. Lupron trigger. And Natural transfer, so just ultrasounds and checking for ovulation. Trigger

Covered by insurance

We did PGD testing, she strongly recommend just one to avoid multiple pregnancy, which we totally agree.

Dr. Davis is very knowledgeable and provides honest and positive feedback with our treatment, which spanned over several years. She was very respectful of our opinions about our treatment options and what we felt comfortable with. She provided us ample information to make informed decisions as well as statistical information about our success rates, depending on what option we pursued, which was helpful.

write your questions down and do some of your own research to have informative discussions.

-letrozole initially with timed intercourse -letrozole with IUI -combination of menopur 75 IU and Gonal F 450 IU, cetrotide antagonist started on day 5 in the 2nd half of stimulation with lupron trigger for IVF #1&2, I have moderately diminished ovarian reserve with my AMH at low normal for my age -Menopur 150 IU and gonal f 375 IU with cetrotide antagonist with HCG trigger on cycle #3, egg retrieval done at hour 35 instead of 36 due to early ovulation on cycle #2 Don't have much information of drug dosing strategy, but the antagonist protocol was what we did with different dosing on each cycle. No significant change in my stimulation response to this between cycles. I had poor quality eggs with each cycle and had an unexpected early ovulation in cycle #2, so they were only able to retrieve 2 eggs with that cycle because of the early ovulation.

IUI and IVF cycles were out of pocket, payment up front prior to the initiation of the cycle. All inclusive of lab, US and any anesthesia/surgical costs. Multicycle discount provided for additional IVF cycles (10%). Did not participate in Attain or any other multi-cycle program, though this was offered.

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Dr. Dudley is competent, caring, and realistic about his patient care. He gave me all of the facts and details that I wanted, and ensured that I understood all of my options and their associated success rates. He is cognizant of the fact that patients are going to spend a significant amount of money on their treatment, and so he recommends a treatment plan that he believes will work for you, and will also fall within your expected expenditures. As SRM's medical director, it's clear that he has clinical experience with all types of cases, and tailors his approach accordingly. I was confident in his care and never doubted that his recommended treatment plans were in my best interest.

Come with your questions, and Dr. Dudley will be able to address them to whatever level of detail you're comfortable with.

I took 5 days of letrozole and 2 doses of menopur in preparation for an IUI. I also had an HSG. My IVF plan included a hysteroscopy and a hybrid IVF cycle, but I ended up conceiving naturally in a failed IUI cycle.

Her communication, transparency and ability to empathize are her super powers. Weaknesses: I wish I could talk to her more, but I also understand that I am in good care with the nursing staff and they are all very aligned.

Giving a list of lifestyle changes that she recommends would be nice; even if it is just a book she likes. It helps me to keep my mind busy and feel like I’m doing something to help myself and I’d love to be aligned with her vision of what health looks like

A lot. $1000 per IUI $175 per ultrasound $125 per trigger shot

She encourages SET vs DET to reduce complexity in birth. She explained the risks well and I love her conservative but confident approach

Nancy Klein was very personable upon first meeting her. I liked her and thought that her recommendation for mini IVF was great. The problem was that I didn’t see her after that, not talk to her about the treatment. She wasn’t available during the monitoring stages and was away on a trip when I was informed that the IVF would need to be switched to an IUI. This was incredibly upsetting, stressful and left me feeling very abandoned (first time ever doing god type of treatment). I liked her but the way SRM operates was not for me.

You won’t be working directly with her so make sure you like SRM as a whole.

I was on a “mini IVF” treatment plan. They have a certain number of follicles that they require to be growing in order to move forward. This wasn’t explained in detail to me and my cycle was cancelled. I had 3 various injectables, all low dose, and a trigger. Progesterone tablets to follow converted IUI.

Mini IVF was about $10,500 and meds were around $800+

Dr. Klein was very caring and compassionate about our situation, in addition to being very knowledgeable and experienced. She answered all our questions patiently and provided explanations in language we could understand. When parts of my cycle weren't going according to plan, she reached out personally by phone to check in and reassure me. It's obvious that she's a very busy doctor, but she never made us feel rushed or like we were a bother. I felt like she really took the time to understand me and my medical history before each step of the process.

Appointments are short, so come prepared with questions, and don't be shy about asking them.

I don't remember exactly, but she thoroughly explained why she had chosen the protocol that she did.

Consistent with the national average. We compared costs with the other major clinic in the city, and they were almost identical.

I am an out-of-state patient with Dr. Klein. She went out of her way to perform my transfer when she could have had her regularly scheduled colleague complete it. She had a conflicting appointment that day but I was very happy to meet her for the first time at my first visit (also my transfer day) at Seattle Reproductive Medicine-Seattle.

I would simply advise that she is warm and informative as I expect an RE to be. She was recommended to me by the people at Embryo Adoptions of Cedar Park.

I've had two frozen embryo transfers with hormone replacement therapy with Dr. Klein. Baseline US, then 2mg of Estrace TID. Bloodwork for estradiol and progesterone and US to evaluate endometrial lining before starting vaginal progesterone BID and daily IM Progesterone. Embryo transfer 5 days later. All my US and bloodwork resulted within desired limits.

$2660 for out of state patient FET. Monitoring was done remotely in CA. A one time $500 Embryo adoption coordination fee.

She initially recommended eSET for these first 2 transfers because the embryo quality was great and the eggs came from a 28 year old egg donor. However, DR Klein said she will probably recommend an ERA and/or start transferring 2 embryos with the next (3rd) transfer.

Dr. Klein was compassionate and kind. She didn't force donor eggs on me right away even with my less than stellar test results and gave me hope while also being realistic every step of the way. We felt that she was genuine and that as patients we mattered.

go with your gut and make sure you are comfortable with any doctor you see. Just like test driving a car, anyone can make a recommendation but you'll know when the right doctor comes along. Do your research, read reviews. And get consultations.

We tried multiple iris with different meds... clomid and femara. She felt with a POF diagnosis iui may be my best attempt to save money since my chance of producing eggs was low. We then tried multiple iui with injections like menopur and gonal f. we tried starting anywhere from cycle day 1-5. Many attempts were made at my request before we agreed deivf was our best option.

An average iui cost was around 400-600... depending on meds type it could be more.

We found her to be personable, compassionate, educated, and realistic. Our 2nd (and most recent visit) she was again realistic about our chances (5-10%). She also said that she would recommend no more than 2 IUI cycles, as the chances of success greatly decrease after that. Although that puts a bit of personal pressure on me, I appreciated hearing that she wouldn't continue to push IUI cycles if it wasn't appropriate. The previous clinic we went to was adamant that we do a minimum of 6 months. There were a few hiccups involving the calendar for treatment as well as the medications involved, but with the help of our nurse Lindsey, we got it all sorted out. Lindsey has been wonderful, responsive with emails, calls, and explains processes completely. I did notice several instructions on the paperwork we received that were not gone over in person with us...such as the recommendation to have sex every day or every other day, and instructions about when to use OPK's. So some of those details were not discussed, but in our situation we literally had 24hrs to get everything squared away, where I most patients have a bit more time to prepare.

Do not be afraid to ask lots of questions! Bringing in all of our paperwork from the previous clinic and previous bloodwork, semen analysis, etc. seemed to be really helpful to our initial consultation, so consider bringing that.

We are in process of our first controlled and medicated stimulation, with an IUI next week of all goes well. She suggested medicated IUI due to my age and to increase chances of conception by releasing multiple eggs per cycle. My husband had a vasectomy reversal and has a normal sperm count, but low motility and thick viscosity. She explained that the sperm is not able to reach the egg naturally due to these factors. IUI will at least give us the chance we haven't previously had. She also recommended supplements for my husband and I to take, which should assist with better egg quality and sperm motility.

Our insurance covers diagnostics but not meds and IUI. With our treatment plan, it will be approx. $1200 per cycle for medicated IUI (injections).

I'm one to always ask questions and find solutions. Without me constantly following up, I'm not sure that things would change with my protocol. I also asked for Blood work many times to try and get more answers.

Be more compassionate and empathetic. Advocate for your patients. Offer the resources that the clinic provides. Don't speak in a condescending tone. Provide clear answers and offer solutions.

I did 6 IUI's. One natural cycle, one cycle with clomid. One cycle with Letrozole. 3 cycles with Gonal-f. No pregnancies.

Each IUI was $500 plus the handling fee for sperm, $125. Bloodwork and ultrasounds billed to insurance. Other tests were also billed to insurance.

She suggested single embryo transfer if I did IVF.

Dr. Dudley was great at the first appointment and answered all of our questions. I do sort of feel as if we were treated as a number at the clinic. I never saw him again after that initial visit or received an email, or phone call following our failed iuis. Communication was very low. I did not hear anything from Dr. Dudley himself until after I requested to have my file transferred to a new clinic.

Get more personable.

All three iuis: Letrozole 5mg (2 a day, 5 days) Gonal F Ovidrel Trigger Shot

$700 per iui $40 copay for every ultrasound

Our over-all experience with Dr. Dudley was positive. He's warm, easy to talk to, and positive. He reviewed our records and thought that we could start off by trying IUI and an HSG. During our first visit, we felt no sales pressure to use him or SRM, which was really nice. I saw Dr. Dudley only two times after our initial appointment during three rounds of IUI and an HSG. This might be hard to follow if you're not familiar with thyroid, TSH, and thyroid meds, but here it goes: Dr. Dudley wanted me to drop my thyroid medication dosage because he felt that it was too strong for me. That resulted in my TSH going too high. When I asked for my original prescription dosage from the nurse, she said I shouldn't be on that dosage because it was too strong for me. That left my TSH too high. My endocrinologist, who primarily manages my thyroid, saw that my numbers weren't right and adjusted me back to a higher dose than Dr. Dudley prescribed which lowered my TSH to a good range for pregnancy. My endocrinologist wants the numbers in a good range before conception, so I decided to follow her prescription.

He's a great doctor. You won't feel any pressure from him, so go for it! Manage your thyroid levels with your own endocrinologist.

After an all-clear HSG, we did 3 IUIs. The first IUI was with .25 Letrozole during the first half of my cycle then a trigger shot after an ultrasound to look at follicle size and lining thickness. For the second IUI, they stepped up the original protocol with a day-9 Gonal-F trigger shot and progesterone capsules taken vaginally after the insemination. That resulted in two nice looking follicles but no positive pregnancy test. For the third IUI, we followed the same protocol. BFN. The one thing that bothered me about this clinic is that they only want you to do home pregnancy tests — no blood beta. This was a bit unnerving because taking progesterone vaginally can delay your period but you are supposed to stop taking them if you have a negative home pregnancy test. I'd be left without a period for a few days thinking that maybe the home pregnancy test didn't work or maybe I was one of those women who did produce enough HCG to show up on a pregnancy test. My fear was that somehow I was pregnant and because I stopped taking the progesterone, I would miscarry. I felt like a simple blood test would've given me peace of mind and less stress. I would've happily paid the extra money to do this.

An IUI cycle was $600-800 — not including medication.

I am so incredibly thankful for Dr Klein. Her compassion, honesty, caring, patience, and experience is second to none. My diagnosis is due to some very complex medical history and she took the time to understand my history. She was very honest about our options and how we could proceed. She was patient and understanding when we wanted to take some time between diagnosis and treatment to adjust our supplements, diet, and emotionally deal with our diagnosis. I was incredibly thankful she did my egg retrieval as she was able to discover some info on my anatomy that was helpful for my transfer. She didn’t do my transfer, but Dr Thyer was amazing and I felt very comfortable at transfer. Graduating from our clinic was bittersweet - I cried as we will truly miss Dr Klein!!!

Have a list of questions with you to ask and discuss! She takes the time to make sure you understand and all questions are answered. You can also send questions via the portal, she is very responsive!

As we did a freeze all cycle (we thought I’d need another surgery before transfer), she was a bit more aggressive with my dosing - 300 iu of gonal-f, 75 iu menopur, plus cetrotide. Dosed for 9 days. Ended up with 12 eggs, 10 were mature, 7 fertilized (with ICSI as my husband was 37 at the time), 2 embryos frozen and biopsied on day 5 and 1 embryo frozen and biopsied on day 6. 2 of the 3 embryos were normal (one from day 5, plus the day 6). Dr Klein said this was very normal/typical and we had adjusted my protocol if we needed to do a second round. We did not as our frozen transfer (3 months after retrieval) was successful and I’m pregnant (15 weeks, Singleton, single embryo transfer, all genetic tests are normal)! We still have one frozen embryo. My FET was medicated - with endometrin, PIO, and estradiol.

Frozen cycle: 11,950. FET: 3,500.

Dr Klein strongly recommended single embryo transfer as I have a ton of abdominal scars and scar tissue, and a twin pregnancy would be super high risk. I agreed and my OB was in 100% agreement - she was also against a multiple embryo transfer.

I was under the care of another doctor who just happened to retire while I was her patient. During that time, I had my first embryo transfer that resulted in a pregnancy. Sadly, I suffered a miscarriage after finding out there was no heart beat at my ultrasound appointment. I was just a day shy of my 11-week mark. I chose to miscarry at home. I chose not to have a D&C with the fear of uterine preforation. Instead, I used the medication misoprostol to induce the miscarriage. After heaving cramping and extreme tissue loss, our baby presented himself. My husband placed the baby and tissue into an Anora Kit that we had obtained and sent our baby in for testing to see what might have gone wrong. Thus, my follow-up appointment was with Dr. Dudley and I reestablished care with him. Since we live out of state, our appointments are over-the-phone. We happened to speak with him while we were still waiting for results from our miscarriage. Dr. Dudley immediately expressed genuine compassion and made us feel like he really cared about our situation. He seemed disappointed and was very empathetic. Furthermore, Dr. Dudley expedited the results that we were anxiously awaiting. Additionally, Dr. Dudley implemented a new protocol and further testing before beginning another retrieval cycle. He also explained potential risks of starting a new cycle too soon. He talked to the company that completed our PGS testing and had our date extended for another few months. This meant we would not have to pay another base fee for our next retrieval. His assistance made us feel hopeful again! We have since completed another egg retrieval in July of 2108. We have one embryo from that cycle. However, since I am almost 38, we have chosen to complete two more cycles of egg retrievals before a transfer. We shared our concerns with Dr. Dudley and he agreed that by choosing to do this instead of another immediate transfer would definitely help increase our chances of getting pregnant. I definitely do not want to go through what I had just experienced and then not only loose another baby, but be older and have poorer egg quality. Dr. Dudley reminded me that I did have implantation on my first transfer and was positive to point out that is was a good thing! He explained to my husband and I both what to expect during treatment. We are scheduled to have another egg retrieval in a couple of weeks and meet with Dr. Dudley. I am so far very impressed with Dr. Dudley and his professionalism, along with his expertise.

One piece of advice I would give to a prospective patient about Paul Dudley is to not be afraid of asking any kind of question. Dr. Dudley is very knowledgeable and respectful. He communicates effectively and will explain things thoroughly so that you will understand.

After my miscarriage, Dr. Dudley immediately ordered blood tests for genetic thrombophilias, specifically Factor V Leiden, which is a mutation that can increase your chance of developing abnormal blood clots. Moreover, he recommended another blood draw three weeks after the previous one to rule out any antithrombin activity, anti-thyroid antibodies, anti-cardiolipin antibodies, lupus anticoagulant, and beta-2 glycoprotein antibodies. My results for blood clotting and immune panel were negative. Dr. Dudley's treatment strategy was the antagonist protocol for both my egg retrieval in July of 2018 and also the one coming up in a couple of weeks. However, my medication doses are different. For the first retrieval, I was on 450 units of Follistim and 75 units of Menopur. For the upcoming cycle, I am to take 375 units of Follistim and 150 units of Menopur. A blood test is taken on day five as well as day eight for both cycles. I fly from Alaska to Seattle for the day-eight appointment. After arriving in Seattle for monitoring, each appointment is contingent on the one before. I am to be notified when to start my antagonist medication, Ganirelix. In July, I started on day seven with 0.5 mL and continued on until day eleven. I take this medication to prevent ovulation. An ultrasound and blood test determine when to take my trigger injection. With the retrieval in July, I used the medication Lupron and for the upcoming retrieval I am prescribed 10,000 units of Pregnyl for my trigger shot. The rationale for using the Lupron trigger is that it stimulates your own pituitary to release a large amount of LH and FSH. In contrast, the Pregnyl trigger releases hCG, which itself acts like LH and causes ovulation. Dr. Dudley is hoping for better results with the hCG trigger in terms of egg maturation. Only time will tell! With my first cycle with Dr. Dudley I produced six eggs. Only four were mature and two made it to day blastocysts. After biopsying the two embryos and sending them in for preimplantation genetic screening, it was found that one embryo tested normal and the other one has less than 85% chance of harboring abnormality of chromosome 21 (Down syndrome). The plan is to possibly thaw and rebiopsy the embryo with another cycle and send for PGS testing again.

My husband and I are on our second Attain package and have already spent over $30,000. Our upcoming treatment is going to cost $22,000.

Dr. Dudley explained that he would not transfer more than two embryos at time. He did also explain the greater risks of transferring two embryos as opposed to just one. Dr. Dudley explained that any pregnancy has risks, however many risks are greatly increased with twin birth.