Shady Grove Fertility WMA

We did not see Dr. Reh personally many times. I met her in person twice - once for a saline sonogram and once for our final ultrasound. However, we had a virtual consult and several phone calls to discuss our options and treatment plan. I know some might have a problem with not seeing their doctor personally for every appointment, but I never felt like there was any lost information or miscommunication. Her treatment plan as described was being carried out every time.

Be able to discuss your history in detail during the consult. She had not reviewed my records in detail, but once I explained our background in about 10 minutes of our 60 minute consult, she was able to talk to us about our previous cycles. Just understand that she is busy and she may not see you personally at each appointment. That does not mean that she isn't checking your records and communicating with the staff.

We came to Dr. Reh's office following treatment at 2 other clinics. We left the first clinic due to a move and the second clinic shut down because of a lab accident. We had one Day 6 tested embryo available to us to use for a frozen transfer. Dr. Reh recommended an ERA prior to transfer, which our previous clinic did not support until at least two failed transfers. That ERA showed that we needed 11 hours less progesterone and we made that adjustment for the frozen embryo transfer. I obviously do not know what would have happened had we not done that ERA, but our first transfer was successful and we are currently pregnant with identical twins. We are certainly very satisfied with the outcome.

We paid for the Global Frozen Embryo Transfer Fee with the Military Discount. It was $3910 and insurance covered all medications. That was the only thing we paid. Our financial counselor let us know that Shady Grove was raising their prices in a few days and advised us to pay early, which saved us several hundred dollars.

We did not have multiple embryos to transfer, so this was not an option for us.

Dr. Reh was the best part of our experience with Shady Grove. Friendly, professional, and extremely well-informed, she consistently took time to thoroughly answer our questions about what to expect throughout the process and encouraged us through some disappointing steps. Fortunately, we are now pregnant with two babies. Navigating all the steps can be challenging, but absolutely worth it.

Ask lots of questions and take notes that you can refer to when following up with other doctors and staff to ensure nothing gets lost in translation.

She had us take all the relevant tests, starting with the female, then the male. Once she determined that we had unexplained infertility, she proceeded with genetic testing. We planned for 3 IUI attempts over 3 months, each with increasing levels of medication if they didn't work, before we would move to IVF. The first IUI was unsuccessful. Prior to the second attempt, I was prescribed Letrozole. Following the second attempt, I become pregnant with fraternal twins.

Insurance covered most of the steps until IUI, which was $1800 per round, which we paid out of pocket. We also had to pay for a genetic testing out of pocket that wasn't covered by my husband's insurance, which was $350 (I believe through a discount program)

N/A

Dr. Reh is a very good doctor. She showed a lot of compassion for me as I was going through treatment and hit a lot of road blocks. She was also willing to try different approaches/med protocols when the typical approach didn't work for me. She also presented my case to her colleagues to get others feedback, which I feel like shows a lot of humility and willingness to go beyond to figure out what would work for me. Even though we got pregnant without IVF, Dr. Reh and her colleagues gave me the diagnosis and connected me to a surgeon who was able to help us and is probably the reason we got pregnant.

Be prepared with questions and don't be afraid to ask about alternative approaches.

I was 33 at the time of my egg retrieval, and had a good retrieval that resulted in 8 PGS normal embryos. The hardest part for me was preparing my lining. Dr. Reh tried multiple different protocols, including estrogen priming and a natural cycle. Dr. Reh also recommended a series hysteroscopies with a surgeon outside of SGF. That turned out to be a really excellent recommendation - I was able to get pregnant after that.

I thought monitoring appointments were efficiently run. I frequently saw my primary doctor during these appointments. This was a benefit to the Arlington office. I also had the same nurses and techs at most appointments, so it was a comfortable experience.

I did SGF's Shared Risk Program with PGS. It was $19,500 + $5,000 for PGS. That included up to 6 retrievals and all FETs.

We never discussed anything other than an eSET. I would not have wanted to transfer multiple.

We highly recommend Dr. Reh and the nursing team at the SGF Ballston office. Undiagnosed infertility and multiple miscarriages is a frustrating path. Dr. Reh brings both the experience (CRITICAL to have a team with a ton of reps when undergoing fertility treatments), as well as a straightforward, pragmatic approach to working with her patients. She took the time to fully explain our options and the data at every turn and was thoughtful and personally responsive when we had questions or things didn't go as planned. Dr. Reh supported our decision making without sugar coating nor being too hands off, and ultimately helped us with a successful IVF pregnancy.

Always reach out with questions or concerns, she's very responsive. SGF is great, because you 100% want the experience, but recognize the different teams that you have to communicate with (finance, nursing, clinical trial, genomics). Sometimes things can get confusing which leads to frustration if you don't recognize that.

IUI - 5 cycles. Low dose clomid w/ 2-3 follicle development. One of the cycles added gonal-F and had to cancel due to producing 5+ mature follicles. 2 chemical pregnancies and 2 negative tests. Final cycle was IVF with genetic testing and frozen transfer of 1 embryo. Hormone doses for egg retrieval were fairly conservative due to overreaction during IUI cycles, but unexpectedly lead to low egg retrieval (8) because one ovary did not respond. Result 2 viable embryos, successful singleton pregnancy with 1st transfer.

We found the Ballston office to be ideal for frequent appointments because it was smaller and less hectic than the other offices. For weekend monitoring, we recommend K St over Fairfax for the same reasons.

~$25K for risk-sharing program for IVF. IUI was covered by insurance.

Strongly recommended single for us due to no diagnosed conditions and history of getting pregnant (but miscarrying).

Dr Reh is genuine, approachable and knowledgeable. I highly recommend her. She saw me for most of my appts and gave me clear expectations of the plan for treatment. She took my requests and ideas into consideration and I felt I could collaborate on my treatment.

Start sooner than later with IVF and go with Dr Rey because she knows her stuff!

3 cycles with different protocols. The last one was able to produce successful PGS tested embryos

Treatment was costly as it is for most infertility treatment but it was worth it and the clinic was professional with smooth communication through the portal.

Dr. Reh was very professional, she explained everything, she provided the information we asked for. She also understood how we were feeling at the time. As news came through, she showed compassion and in a way held our hand through the process.

Ask all the questions you need and know that you can trust.

I went through three cycles. The first includes a lot of tests and is obviously tougher as a first time. I do not recall the specifics at this time.

Because of my age, we selected a Shared Risk IVF. I believe it initially cost $33,000 + all medication costs were paid from my pocket. Each cycle could cost up to an additional $5,000. We receive all our money back after a failed IVF process and had to pay an additional about $10,000 for the shared risk donor process.

Dr. Reh was extremely knowledgeable, kind, caring and patient with us throughout the process. Although we ended up just going through testing, Dr. Reh explained everything thoroughly, was always open to questions, and made us feel confident in the process. We enjoyed working with her.

Don't be afraid to ask any question. Dr. Reh is so kind and caring and is happy to help you understand all aspects of fertility testing and treatment.

Dr. Reh is great at advising patients on the process. Example: In my case, she said that my eggs were not strong enough to survive up to pregnancy, based on that we got donor eggs and am not pregnant

Brace to be told the truth and follow whatever she says, it will be excellent for you

Treatments ranged from injections to pills and I followed the timing

I did 2 personal eggs transferred but had miscarriages and a donor egg transfered now. Never got qualified for any of the SGF programs. We spent over 40, 000. 00 including third-party load, out of pocket, and few coverage by insurance

Ours went well

Dr. Reh was great at addressing all my questions and took care of us during a very stressful time. We are so grateful for our experience at SGF and feel blessed to be expecting our first child this fall.

My main issue was a PCOS diagnosis and the fact that I was not ovulating. Since there were no other known issues, we began with the least invasive option of medicated monitored cycles/timed intercourse. After two failed cycles, I decided to do an IUI to increase my odds. We are glad we did bc we came pregnant with our first IUI.

We switched to SGF after a not so great experience with another clinic in Pittsburgh. We had heard so many wonderful things about Shady Grove and were so excited and full of hope to start treatment with them. Dr. Bromer is friendly, positive, and honest, but also to the point which we appreciated. He took his time with us at our initial in person consult. Prior to this, wewere even given a free of charge phone consult before scheduling our first office consultation since we lived 2 hours away from the clinic. Both times he was very knowledgeable, kind and answered our questions about treatment, PGS testing, ICSI, and medication protocols.

If you are a self-pay patient as we were, don’t be afraid to ask questions about the financial options offered. You will meet with a financial advisor at SGF as well, and she is awesome. But we went with the “shared risk” plan and probably could have gone with the “multi cycle” plan to save some $. Hindsight is 20/20, but be sure to ask questions about chances of success based on your particular situation or diagnosis before making that big decision!

I was treated with a high responder antagonist protocol. I believe the reason for this was that I don’t have any diagnosed fertility issues (although I *may* have some underlying problems, read below) and Dr. Bromer was confident that he could retrieve eggs. I am in a same sex marriage, which was the primary reason my wife and I chose IVF to start a family. However, I also have a substantially sized endometrioma on my right ovary which was likely getting in the way of IUI success and most likely points to endometriosis elsewhere, although I’ve never had the lap surgery done. As far as the treatment plan goes, I was on birth control for 18 days prior to starting 150 IUs of Follistim/Gonal F daily (after my first follicle check this was increased to 175 daily) and 75 IU Menapur, daily. I started Ganirelix 1x per day once follicles were >14mm. Triggered with Lupron. The results were: 16 eggs retrieved, 15 mature, 13 fertilized and 8 made it to 5 day blastocysts. Of those 8, 6 were PGS normal.

Our treatment was not covered at all under insurance. We chose the shared risk program ($22,500) through Shady Grove which included 6 stimulated cycles and unlimited transfers until 1 live birth. We also added the PGS testing for 5,000 for a total of $27,500. We became pregnant on the first try, after 1 retrieval and 1 transfer, so we overpaid! BUT, we probably wouldn’t have changed our decision. Hindsight is 20/20, but I think we would have gone with the shared risk plan ultimately for peace of mind and not knowing if we would have failed transfers or not. To help compare the other plans available...1 cycle at SGF is $10,500. With PGS it’s 14,000. The “multi cycle” plan allows for 2 stimulated cycles with unlimited frozen embryo transfers for $18,500 or $23,500 with PGS.

Shady Grove Fertility in general has a strong stance on only transferring 1 embryo in most circumstances. Personally, we were totally on board with this.

Dr. Bromer was very clear that our chances with our own eggs might be low, given our age, history, and diagnosis. Every step of the way, he was trying to save us time, money, and heartache. In all his communications, he was warm, compassionate, and candid. He incorporated our wishes into his own treatment recommendations, and listened carefully to all our questions and concerns. We eventually conceived using our own eggs (at age 42) in an IVF cycle with Dr. Bromer. We will be forever grateful to him for his guidance, treatment plan, and advice.

You can totally trust his guidance—he is up-to-date on all the most current research, and he truly cares about his patients.

I was 42.5 when my cycle occurred. Dr. Bromer used a standard IVF antagonist protocol with bcp priming for us. He also recommended ICSI due to the age of my eggs (we had avoided ICSI in a prior cycle because we had no MFI issues). Dr. Bromer also recommended a freeze all cycle, given my response in a previous cycle. He was also receptive and encouraging when it came to my own reading on supplements; with his approval, I took melatonin, myo inositol, ubiquinol, fish oil, and MTHFR prenatal vitamins. We did not use PGS. We had three 5AA embryos and one 5AB embryo to freeze. We transferred one embryo, which resulted in the birth of our first child at 43.

I was the one with the strongest preference for eSET, given what I had read about the risks of multiple transfers. Dr. Bromer was in agreement with our preference, and did not urge us to transfer more than one embryo, despite our age.

Dr. Bromer looked over my entire medical history, not just the lab numbers. Fertility science is constantly changing and he seems understanding of that, whereas other doctors I’ve had historically are inflexible. Dr. Bromer is honest and direct while being caring. He seems to understand how challenging and stressful this is, so he presents all the information up front and made me aware of all my options and the chances of it working realistically. No false hope, but he’s kind about it, and willing to work with the patient. I have the utmost respect for him.

See him. You won’t regret it.

I will be using an IVF cycle with a sperm donor. The amount and types of medications will be closely monitored dependent on my body’s response to them.

There are several treatment options with different costs associated, including shared responsibility, income based discounts, and the one I used- military discounts.

I liked that he took the time to explain the results fully to me during the testing. My husband also felt comfortable with him. He was positive and easy to understand and trust. I had read reviews about the clinic that you don't ever see your doctor or talk to the doctor but that is not my experience.

The testing will take awhile to time everything correctly.

The pre-screening tests were covered by my insurance (I did have to pay a few rather large co-pays). All other costs are out of pocket.

Lauren is supportive, empathetic and professional. We've had three treatment consultations with her. In each meeting, she clearly stated where we were in the treatment process, what the next steps or options were, and any risks associated with procedures. She would check in with us to make sure we understood everything and was able to do this without us feeling patronized. We asked many questions and Lauren always made sure we had as much information as we could before making any decisions. We felt/feel that she gave us her honest opinions and she supported us in each decision we have made thus far. Whether that be opting in or out of genetic testing, choosing to continue IUI after our miscarriage and switching to IVF, Dr. Roth has been supportive of each decision. She has also been quick to respond to any messages or emails we have left with questions. She never makes you feel ashamed or stupid for asking questions, even if they are as silly as "is it okay to dye my hair?" During procedures (we have done multiple IUI's and one fresh embryo transfer with her and will be doing a frozen transfer at the end of October), Lauren talks through the procedure as it's happening. This was especially helpful and comforting for my wife and me. I know my wife would have been asking a million questions if she had not been walking us through it. After our miscarriage, Dr. Roth was sympathetic and gentle about asking when we wanted to proceed to the next step. We have never felt rushed or pushed in a certain direction. She allowed us to make our own decisions about our treatment plan and it does make us feel like we are a team.

Don't be afraid to ask all your questions and voice your concerns. She will listen.

We started this journey without medications. The first two cycles of IUI were natural. At the time we started the process I was 29 and had no health issues that would indicate the need to use anything else. We also used at home Ovulation Predictor Kits (OPK) to track my LH level and predict my ovulation window. We used the Ovidrel trigger shot starting in cycle 2. On the third cycle, we started doing monitoring through Shady Grove, meaning bloodwork and ultrasound to track ovulation and introduced 50mg of Clomid to the cycle. After this cycle was not successful, Dr. Roth suggested we do an HSG test to make sure there were no blockages in my fallopian tubes and that my uterus was normal. After getting normal results back from that test, we started our 4th IUI cycle. This cycle resulted in a chemical pregnancy. 5th IUI we also introduced an FSH injectable (Follistim AQ, can't remember the dosage). On the 6th IUI cycle, we continued with Clomid and Follistim, increasing the dosage slightly on the Follistim. We were successful in this attempt and found out we were pregnant on New Year's Eve. I made it 14 weeks and had a miscarriage in March of 2019. We used April as a recovery month and did a saline ultrasound in May to confirm that all the tissue was removed and my uterus was clear to try another IUI. We continued with the protocol that we used in the 6th cycle except I used Letrozole 2.5mg instead of Clomid because of a national shortage. This protocol was successful for us so Dr. Roth felt that we didn't change it. After this cycle was negative, we discussed our options with Dr. Roth and ultimately decided to try IVF. I began the cycle taking birth control to suppress natural ovulation. We also used Menopur (75 IU), Follistim AQ (200IU), and Ganirelix (250MCG). We used Lupron (1mL) for the trigger before egg retrieval. After the Fresh Embryo Transfer, I began taking Estradiol (2mg tab) twice daily, and Endometrin (100mg tab) 3 times a day. This transfer was not successful. I have just started taking birth control again for the frozen embryo transfer and will begin Estrace/Estradiol 2mg tab 3x a day soon.

We were lucky in that our insurance covered 6 IUI cycles. However, we had a $50 copay for any visit to the clinic regardless of the type of appointment, and the IUI's were only covered after we met our deductible. Medications were partially covered as well. The HSG test was not covered, and that was $350 up front. The billing for this was a bit confusing because Shady Grove's system was a few months behind, so even though we paid up-front for the HSG exam, they applied that money to other charges on our account. In the course of the IUI treatment, we spent $16,000 (not including sperm). As we moved to IVF treatment, nothing is covered by our insurance. We opted for Shady Grove's Shared Risk Program, which is $19,500.00 plus the cost of medications (so far $2,331.00).

When we asked about the number of embryos, Dr. Roth explained to us that because of my age (30) if we did multiple embryos we would only be increasing our chance of twin rather than increasing the chance of pregnancy. She felt that the odds were good to transfers only one since the rate of pregnancy for someone my age is around 50%.

Dr Bromer gives you faith. He really looks into everything and is extremely thorough. He self reports that he has been through IVF so he understands the emotional component from personal experience. He gives us confidence that things will eventually work out.

As long as you do your own research and have questions to ask, he will always find and give an answer.

We started seeing Dr Bromer after a failed cycle at a different clinic. He changed up the stimulation medication and along the way, changed and edited the dosage as needed. He is always monitoring and adjusting as he sees fit which is very appreciated. He also suggested PGS testing and an ERA assessment.

Shady Grove has a Shared Risk Program that some are eligible for. You pay a certain amount for 6 cycles. If you do not take home a baby (either due to the 6 cycles not working or your inability to continue for whatever reason) you are able to get a 100% refund. This does not include medication.

Although I have yet to have success, I have been very happy with my experiences so far in Dr. Jason Bromer’s care. He listened to our wants and needs and I feel like he looked at us as people and not just numbers. I just got my results after our first IVF cycle yesterday and he was so compassionate on the phone. He was patient and answered every question I had. I felt like he truly felt the grief with us. I have all the faith in him that we will be successful

Trust in him and in the process.

I was started on Menopur 75 IU and Gonal F 150 IU as my stimulation drugs. I also took Cetrotide. Lupron was my trigger drug prior to egg retrieval. I was stimulating really quickly so my doses were lowered part way through the stimulation process. I ended up with 19 follicles, 9 eggs, and 5 embryos. Unfortunately only one of my embryos made it to Blastocyst stage. It was transferred on day 5. We were unsuccessful. We plan to initiate another cycle soon.

I felt that our treatment was pretty cost effective compared to other facilities that I have heard about. For our first IVF cycle it was about $7,500

He is very straightforward and clear, which I like. If you want a very gentle bedside manner, that's not really him, but he's not rough either. Somewhere in between. Very realistic, but he clearly cares too.

Be prepared and do your research. Ask lots of questions - he is happy to answer. Expect realism but not coddling.

I am in a same-sex marriage, and I'm a good candidate for IUI so the one cycle we've done so far has been natural with trigger shot. He gave me the option to go without trigger, but I wanted it. We may change protocol next time, but we'll see.

We have some coverage, so each office visit was a $40 copay. Counseling with a social worker for using 3rd party genetic material was out of network and was $300. Natural Cycle IUI is $1200 per cycle, but we were approved for the Shared Help Discount at 15% (income based), so natural cycle IUI for us is $1020. Medicated is $1800/cycle ($1530 for us). Sperm is separate. We do not have insurance coverage for IUI. HSG was covered, as was all lab work.

I was personally looking for a doctor to be realistic versus optimistic but also to offer his point of view on the best option for us (own eggs vs. donor). I vetted four clinics and he was the first to deliver on my expectations. He called us several times while he was on vacation to personally review some unexpected setbacks and his recommendations for moving forward. He was willing to consider my thoughts on how to proceed; he offered an expert opinion but was not overly prescriptive. He is kind, compassionate and invested in your success. Aside from a new patient consult, in-person consult and various phone conversations, we had much more interaction with our nurse than our doctor.

Be up front on what you're hoping he can help with.

Since I am a donor egg recipient, my protocol was related to an embryo transfer only and was pretty standard (Lupron, progesterone, estrogen). I responded well to what he prescribed.

We participated in the shared risk donor program in which we were one of three recipients (so we shared the cost). The total was about $26K.

N/A

Dr. Bromer seems to be highly intelligent in his field. He does not “sugar coat” anything and he doesn’t just tell you what you want to hear. He is honest and has research and scientific reason to back up his methods. I was highly skeptical to use any fertility medications. He respected my choice and now that we are about to start IVF and I was worried about all the meds, he definitely eased my mind and made me feel confident about our chances with IVF as well as the safety of the medicine.

Ask a lot of questions. He is honest and will give you a medically researched answer. Do not expect a warm and fuzzy guy. However, you should expect someone who cares about the best way to give you and your spouse the baby you want.

IUI with clomid was suggested but I refused meds and he very honestly told me that was fine but after so many IUIs it was time to possibly change protocol. Now after four failed cycles, he has respectfully advised us and with confidence- IVF is the best next step. We are getting ready to begin that soon.

Regular co pays for office visits. Their IUI cost is reasonable without insurance and the shared risk IVF program is great. You basically pay the amount that 2 cycles costs and then you can do up to 6 cycles and back out anytime if need be to get money back if you don’t get a baby.

Dr Bromer is an incredibly honest, understanding, truthful, scientific clinician. I wanted less fluff and more fact for the IVF process and he gave us just that. As part of the Shady Grove Fertility system my direct interaction with my doctor or nurse was limited and I got pass around in the system, but when planning out our IVF protocol he heard everything we wanted, gave us all our options, and even when we said we eventually wanted to transfer two embryos in pursuit of twins he said “I would strongly recommend against that but we’ll do what you want. IVF has higher success rates nowadays than historically, it’ll be healthier for you and your baby if you transfer just one.” When monitoring discovered a cyst he called me personally to discuss the details, importance and impact of the suggested immediate aspiration. Even the day after my retrieval with a different doctor, my pain was unfathomable and he jumped into my emergency appointment to ensure no internal bleeding, ovarian twisting or unintentional rupture had taken place, when usually it was only myself, the ultrasound tech and a random nurse in my appointments. Even during this opiod crisis he didn’t say “it’s really unusual you to be hurting like this, just go home and rest.” He made sure I was safe and comfortable during my recovery, gave me a small prescription of a higher dose pain killer which finally enabled me to sit and sleep, and I returned to a normal state of post retrieval pain 2 days later without completing the prescription. Just today when one of our two embryos returned with a mosaic abnormality he spent 25 minutes on the phone with my husband and I going through every angle and potential outcome of whether or not to transfer it.

Don’t expect warm and fuzzies. He is kind, but he is a good doctor who’s main interest seems to be in the science behind getting and keeping a woman pregnant, not hand holding or coddling through the process.

Infertility is not biologically my problem, so the preexams confirmed all was right with my body. I presume the treatment plan was laid out as it would be for any standard patient. During Stims a cyst on my ovary was discovered, something new to me, and Dr Bromer called me to explain exactly how and why it would halt the IVF treatment and how important it was to have it removed right away. Apparently birth control, which I hadn’t taken in over 5 years, now (or maybe always?) made me develop an ovarian cyst. He advised the medications to stimulate my ovary and follicle growth would also make the cyst grow. My estrogen level was at 90 when it should’ve been 30-50. I can’t remember why the cyst would negatively impact the treatment but Dr Bromer did state if I didn’t get the cyst removed TOMORROW we could start Stims until the next month and hopefully the cyst would go down by then.

Cattle call line around the corner. Toward the end, one nurse/tech would holler into the waiting room “make sure you empty your bladder before your ultrasound!”

$24,000 for the IVF shared risk program, right now almost $5,000 for medications. The bill for the cyst aspiration hasn’t come in yet.

My husband and I wanted twins out of this expense, invasive process. Dr Bromer strongly advised against it as twins can be more taxing on mom and the other fetus during pregnancy, and having one newborn is harder than two. At the end of this first round we only have one quality embryo to transfer anyway, but he did detail with us the potential outcomes, both best and worst case scenario, if we transferred the abnormal embryo. I figured if it miscarries, no big deal. He advised; if it miscarries a subsequent DNC may damage the other healthy fetus. I didn’t even think of that, I more so thought it would just drop out of me.

He’s very knowledgeable and makes sure you understand what he is saying and that you fully comprehend his treatment plan. That being said, he’s a little odd and I felt slightly uncomfortable the one time he did an ultrasound on me.

Make sure to ask all of the questions you have- he really does do a good job of explaining everything.

3 cycles of clomid, ovidrel, and preogesterone suppositories. I have PCOS and the clomid was used to stimulate follicle growth and the ovidrel was to ensure I ovulated within a certain timeframe. I’m on the third cycle now, but the first 2 ended up with negative results.

Timed intercourse was 100% by our insurance. We are discussing moving on to IUI next and that cost is $1800.

I couldnt have asked for a better doctor. I’ve known quite a few ladies who have gotten treatment at Shady Grove Fertility both at the Frederick office and Rockville office and each lady had a doctor to recommend. Initially, we were paired with Dr. Bromer but had to reschedule which then we were paired with Dr. Roth. From the very beginning, I felt comfortable around her. She fully explained the tratement plan she had for us and answered any questions I had without hesitation. She never seemed annoyed even with her busy schedule. I’ve mentioned before that she has called to check up on us when our treatment would get pushed back or when I had a bad reaction to medication. She has called us to give us good news after our egg retrieval even after our assigned nurse gave us the news. Dr. Roth is a phenomenal doctor who I would recommend (and have) to anyone seeking fertility treatment.

Trust in Dr. Roth. She loves what she does for a living and you can see that when she interacts with you. You’re not a number with her. You are (your name) from (city, state) who wants nothing but to start a family or add to an existing family.

I am still undergoing treatment.

We have blue cross blue shield and have 100% coverage after meeting our deductible. We paid what was left of our deductible which was around $2800.we signed up for a synchrony study with requires assisted hatching and ICSI. We were not approved for either of those services so that was out of pocket plus we owed for services before we were approved which was another $3800. Medication has been a breeze and nothing has been over $30 per prescription

No comment. I am in a study that does PGS and ERA testing and only allows for the transfer of 1 embryo.

He was super nice from the first time we met. We had lots of questions and concerns and he took the time to answer everything and tell us in detail what our cycle would more than likely look like. He has been great to us thus far and the only bad thing I have to say is he haven’t done any of my procedures or transfers because I have to go to a bigger office for all of those. I’ve only ever actually seen him 3 times but he does go out of his way to call before all my procedures, egg retrieval and transfers which I really like. He also called after our failed transfer to tell me he was sorry it failed.

Just be aware that there is no guarantee that you will see him other than your consults/ any meetings you have with him. You will see whatever Dr is there for the day.

We used ICSI instead of traditional IVF because my husband has a varicocele so it causes his count to be low and his morphology to be messed up. We retrieved 14 eggs and ended up with 6 blastocysts. He suggested we only transfer 1 for our first fresh transfer as we were so young and transfering more wouldn’t increase our success rate by much but it would increase our multiples chances by 50%. Our first cycle failed. He said frozen transfers have better success rates. And was fine with transfering 2 this time like we wanted. We’re currently in the TWW of our first FET second transfer.

We had insurance coverage but for our first full round (retrieval and fresh transfer) plus our second frozen transfer it’s been roughly $3,000 including our co-pays, medication, embryo freezing and thawing costs.

He talked to us about the risks of transfering multiple embryos so we didn’t the first time. We talked about transferring two the second time and he was fine with that but he did make sure we really understood the risks of multiples.

Dr Roth is very caring and compassionate. She was very comforting during my first chemical/miscarriage. She was completely baffled when my second cycle went so badly and consulted with other physicians to see what she could have done better. When I found a protocol I wanted to use, she was on board with trying it. When that cycle resulted in 3 highly graded embryos and 2 made it to freeze she was as happy as I was. When she called with my positive pregnancy test from the 3rd embryo, she said she'd almost never been so happy to call someone before. I highly recommend Dr Roth. I felt well cared for and all my concerns were listened to and never dismissed.

Trust her and if you have a different idea for treatment, don't hesitate to run it past her. She'll listen and not just brush you off.

First cycle was a typical protocol involving BC and lupron. I ended up oversuppressed, but we did get 5 mature eggs after extra days of stimming. This cycle resulted in a chemical/miscarriage. I had to have both tubes removed between cycle 1 and 2. Cycle 2 involved high dose stims. I'm pretty sure it fried my eggs. Despite 5 good looking follicles we only got 2 eggs and neither fertilized. Both cycles used ICSI. 3rd cycle we did a low dose stims. Estrogen priming, Femara, Follistim, Menopur and Ganirelix. This was by far my best cycle. 5 eggs retrieved, 4 mature and all four fertilized with PICSI. I got 3 blasts, 2 AA and 1 AB. We transferred one AA and froze the other AA and the AB. I'm currently pregnant with the one AA.

Morning monitoring appointments were by appointment only. Most times I had no trouble getting in during the time I needed. Most often I was in and out within 45 minutes, sometimes a lot faster, sometimes slower.

My overall cost was around $7000. I have incredible insurance though.

Dr. Bromer is a great Doctor I think, he listen as is very patient with multiple questions, he give you options but also tell you what is posible and not posible. He give you numbers if you ask which is good for people like me. The only think that I did not like is that you almost never see the Doctor. We have two appointments over the course of more than a year, one fresh cycle and one Frozen Embryo Transfer. He does not do any of the procederes, but he calls you the morning of the procedures to explain what is happening. So I am sure he was follow my progress and keep and eye on the results, but I still feel like it was a little bit too “virtual” relatinship. I think this is “standard” in this clinic, but they do a good job overall.

Keep in mind that you are not going to get a lot of visits with Dr. Bromer, so write all the questions that you have and ask in the first visit (is a long visit). If you have more questions after the visits just write an email to him or the nurse he will call you or answer by email.

We had male and female causes. Male due to poor morphology (they did 2 samples just to confirm), I had parcial blockage of one tube and hypothyroidism. So we decided to go directly to IVF, because morphology can affect fertilization specifically so we know it was a better change that trying inseminations, we also wanted to prevent high multiples pregnancy. I had good ovarian reserve and just turned 35 so we were just about time to start IVF with better prognosis as if we wait for me to be older. We did a fresh cycle and transfer one 6 day blastocyst, but it didn´t work with the fresh transfer. After that we did one FET with two 6- days blastocyst and currently I am pregnant, I did suffer from vanishing twin syndrome, so the 2 embryos attached, but then one died at 6 weeks. My fresh cycle was initially delay when they discover my hypotiroidism, so I had to start medication and control my TSH before actually starting the stimulation. We still have one embryo frozen and we hope to use it latter. Stimullation was hard, the retrieval was hard on my body (painful, bloating, lots of nausea), FET was so much easier even with the progesterone injections. I remember that I used gonal pen, menopur and a trigger shot.

Insurance covered a lot of the IVF fresh cycle (most of medications, monitoring, egg retrieval), it also covered all the test to diagnose infertility. We had to pay all the copays for every visit off course (many visits), some money for the medication, this is like a another copay about 300 dollars, and then we had to pay a deposit for the retrieval, I think it was like 800 dollars, this is because is consider surgical procedure. Insurance did not cover cryopreservation (about 1800 first year). Insurance did not cover FET, I think it was another 1800 dollars per tranfer, they explain this is aetna rate, and it is supposed to be more money if is private.

He strongly recommends eSET, and explains risk and benefit. However the decision is yours. We did one eSET and then in the next cycle we transfer 2, we understood the risk.