USF IVF & Reproductive Endocrinology

Dr. Plosker has been a very kind and understanding professional. He takes the time to fully explain our treatment plan and answer any questions that may arise. When my husband and I first started this process, we did not know where to start or what to ask. He was exceptionally informative while understanding our concerns. We feel that Dr. Plosker always has our best interests in mind.

The one piece of advice that we would have for prospective patients would be to utilize his expertise. Do not be afraid to ask questions. Dr. Plosker will not only answer your questions, but frame his answers in a way that someone not familiar with medical terminology would understand.

Dr. Plosker’s course of treatment were the IUIs. We did four rounds of IUI, along with medication to produce multiple follicles and to stimulate egg release. This course of action was taken because all of the infertility tests for my husband and myself came back negative. After these attempts were unsuccessful, Dr. Plosker performed the HSG. This result was normal. Then we underwent a mock transfer with saline. For IVF treatment, aside from the medication regimen, we had ICSI, PGS genetic testing, genetic screening for both me and my husband, fibroid removal, and an ERA. This first attempt of retrieval and implantation resulted in a miscarriage. The cause was unknown. As a result, Dr. Plosker wanted to eliminate any possible reasons for the miscarriage. That is why the fibroid surgery and ERA have taken place.

My IUIs were covered by my insurance. But IVF was not, we financed $42,000 (almost $62,000 after interest) through ARC. Meds have been around $3,000.

I have met with Dr. Plosker on 3 separate occasions. I have never felt rushed during a visit with him and he explained everything in detail. He also kept finances in the picture which is important when you could be spending a lot of money. He truly did seem to care about making our dream of becoming parents a reality.

Take the time to listen and ask all of the questions that you have.

I had three rounds of IUI. Two with clomid and one round with femara. I switched to femara bc I was getting headaches from the clomid. I also did an ovidrel shot on cycle day 12 and IUI was 36hours later. I always had an US on cycle day 12 to confirm follicle size and uterine lining. Unfortunately IUI did not work for me. The process physically was very easy for me and the clinic made sure everything was scheduled and called in for me.

Visit was 350 to see dr Plosker Each IUI was 700, but my insurance covered that. Meds were about 150 per month for three months. I also had an HSG and Saline US which was about 1000.

Dr. Plosker is very thorough, and compassionate. Our experience was overall great even though we didn’t end up with the results we had hoped for. At our meeting with Plosker to re-group and come up with another game plan to proceed with future IVF cycles he remaind very positive that he could still help us be parents, he was very patient to answer all of our questions, and even stated he took our case to his colleagues to help in the event he missed anything.

Trust the process and the information he provides you.

I was started on levothroxine 100mcg and provera 10mg. Prior to cycle. Once cycle was induced I started my Injectables Gonal-F 150 units, Menopur 75 units daily. I also had routine blood work and ultrasounds. During the second week I believe menopur was increase to 150units. Ganirelix 250 mcg was injected daily. Once eggs were mature I was given a trigger shot. Eggs were retrieved 48hrs later. Day of retrieval 8 eggs were retrieved, 6 fertilized properly via ICSI. To help manage pain I was given Tylenol-Codeine #3. On day 5 we only had 1 viable embryo that was biopsied and sent off for PGD testing. I was started on metformin 2-750 mg daily. Approximately, a month later I started estradiol 2 mg x 3 daily. About week prior to transfer started Crinone 8% Gel - 2x a day. Day of transfer I continued Estradiol regimen, and did Crinone 3x that day. After transfer continued Estradiol, and Crinone up until the point of miscarriage approximately 3 weeks after transfer.

Approximately- $18-20k

Dr. Plosker is very against multiple transfer if you have had PGD/PGS testing.

As a patient I felt confident in his care. He seemed up to date of information. He did seem to remember me as a patient when I saw him. I was his patient for a few years off and on. He did run late a lot of the time but I never felt rushed when talking with him.

Be prepared for your appointment to be later than scheduled

Our first IVF cycle was pretty basic. I don’t remember the exact protocol but I did Lupron before starting stims. He was very confident that is was going to be successful and thankfully it was. We did 2 fets after and both were not successful. I did another IVF cycle about 8 years after my first one. It was a similar protocol but with higher doses of drugs. It was not successful though

My first IVF cycle was right around $12,000 but that was in 2011. My fets were all around $3,000. My second IVF cycle in 2019 was just under $13,000. Those were not including medications though.

We did 2 embryos for each transfer

Dr. Plosker was clear, concise, and had no issue explaining his reasoning behind different paths we could and should take. He didn't have the most warm bedside manner, but he wasn't cruel or rude. Just matter of fact. For me, it was more important that I have a thorough understanding of every decision we were making than to have someone who was warm and fuzzy.

Don't expect a warm and overly inviting doctor. He is very matter of fact.

My previous doctor had run a blood test that showed I ovulated, but my progesterone had been low. That doctor had me on topical progesterone. Plosker explained to me the shortcomings of topical and why he thought that oral would help me more. Knowing what my progesterone had been, he wasn't certain that I was actually ovulating every cycle, so he started monthly bloodwork. It turns out, he was correct. It's pretty rare for me to ovulate. At this point, we've tried clomid, letrozole, and metformin trying to get me to ovulate. None have worked. I have an appointment with him next week to discuss injectable options. At this point, our goal is to get my ovulating and trying to conceive naturally for a few cycles. If, at that point, we are still unsuccessful, we are going to move to IVF, most likely with ICSI because of some MFI issues.

So far, my insurance has covered most of my appointments, so there havent been any surprises

The clinic my doctor is currently at says that the do not see greater results with multiple embryo transfers. I trust them and agree that, if that is true, I dont want to risk complications

Dr. Plosker is amazing. From day one we felt comfortable in his office. He explained the process every step of the way and at no point did we feel we were just another algorithm to him. He takes the time to explain the process and also always allowed us to ask questions without feeling like we were a bother to him. I have nothing but mazing things to say about Dr. Plosker. We have bee in his car for 3 years and while we have no successfully conceived YET I know we will with our determination and his knowledge.

On occasion you will have to wait past your appointment time but it is worth it. Once you are in the office with him you will feel like you are his only patient. You will never feel rushed so just remember he is making the patient ahead of you feel the same way.

Oodles of blood work. Hysterosalpinogram- which showed a blocked tube. At this point Dr. Plosker offered surgery to fix it but we wanted to start less invasive. We tried four IUIs using Clomid and Orvidel- unsuccessful. Sonohysterography- showed a polyp which may be cause for failed IUI. Dr. Plosker performed laparoscopic surgery. During that time he removed endometriosis, repaired a fallopian tube, and removed the poly. Currently doing timed intercourse with Femara while saving money for IVF.

IVF with Dr. Plosker has an estimate of $20,000 plus medications. This includes anesthesia, retrieval, ICSI, genetic testing, and cryopreservation for a year.

He said we would evaluate when we got to that step. Unsure at this time.

Dr Plosker is very open and listens to your concerns. He wanted to do a fresh transfer but when I spoke to him about my concerns from my previous fresh transfer, he listened and validated my concerns. He understood I did my homework to educate myself and listened to my body’s response.

It may take a while to get your initial appointment, but it was worth the wait. He recommends what he feels is best, but also listens to your concerns and will ultimately do whatever you choose.

I did birth control to start my cycle. Then I was placed on Gonal-F (300) and Menopur (2 vials of powder) at night. Then they added Ganerelix (1 syringe) each morning in addition to continuing my night medications. Before transfer I was out on Estrace (3x a day) and Crinone (2x a day).

Roughly $12,000 for a fresh transfer with an additional approximately $1,200 for medications. Which are from the hospital pharmacy and are provided at a discounted rate because of a grant. Also, roughly $14,000 for a frozen transfer with an additional approximately $1,500 in medications.

Dr Plosker will suggest how many you should transfer based on the quality. But let’s you decide if you want less.

He is very knowledgeable and open to talking about different routes needed for treatment options. He is not a fluffy super compassionate person but he balances emotions well and applied when needed.

Come in with a plan and know what direction you are thinking and be willing to discuss.

IVF cycle using donor sperm and ICSI. Started with Lupron shots in the AM (10 ml) for about 10 days and then decreased dosage (5ml) of those shots while continuing them in the AM. Added PM shot of Gonal F injectable pen (75) as well as menopur (1 powder). Kept on that same regimen through the cycle until trigger shot with HCG after having bloodwork and ultrasound done every other day leading up to egg retrieval to monitor estradiol and follicles. Retrieved 10 eggs and all 10 fertilized. Only 3 made it to 5 day blastocyst stage and 1 fresh embryo transfer took place. The other 2 were frozen. One is a grade 2 and the other is a grade 4bb I believe. I am unsure what the grade of the embryo that was transferred. Dr. Plosker would not transfer 2 embryos because I was still 36 during the time of the procedure. The transfer was unsuccessful.

They are more affordable than other facilities since it's a research facility and they have some grants that allow meds to be cheaper.

Since I only had 3 embryos, I was self pay and I just turned 37, I wish he would have transferred 2 embryos instead of 1. My frozen embryo cycle will cost an additional $5,000 out of pocket. He did state I can transfer both of them during that cycle at least.

Dr. Imudia is patient and kind and makes the best action plan as best as he can. We even wanted to transfer 2 embryos but he suggested 1 as it did not necessarily increase chances of a viable pregnancy plus the added difficulties it would present if both embryos did attach. His RN is great at scheduling and because they have multiple locations it is easy to shift appointments around once you are an established patient. Electronic communication was the best thing I had with Dr.Imudia and boy did he have a lot of emails from me.

It is hard to get in initially but once you are an established patient, advocate for what you want. I had all my blood work completed and my cycle began in December I was not scheduled for an IUI but asked m doctor why I couldn't do it if all my labs/ultrasounds were done, well with that said I was immediately booked for my baseline ultrasound on New year's day. The clinic is never closed.

During my IUI cycles I used clomid(no injectables) and had baseline ultrasounds but that was it and those were not successful, but also take into consideration I had just balanced my hormones so those eggs that did not fertilize could have been a results of my previously imbalanced hormones. My IVF cycle was after my hormones were balanced for over 6 months, so the egg quality was probably much better at this point. During my IVF cycle I used injectables(Lupron,menopur,gonal f) and then progesterone suppositories until 10 weeks) and I got my daughter.

They were on time and prompt I was never waiting more then 5-10minutes for the monitoring appointments.

I don't know I was blessed that my insurance covered all cost.

I believe Dr. Immudia will make the best decision for each patient's circumstance.

My expierience as a patient has been overall good. Although we have only seen him a handful of times throughout our treatment, he was very efficient when we saw him. He was knowledgable about our results and explained our plan of care. My sister also has infertility and had him as her doctor so he is well trusted in our family.

Tell the doctor all your concerns.

We attempted 5 months of Femara 5mg with timed relations. All five months were negative pregnancy test. We are currently in the process of our 3rd IUI treatment. I get my initial ultrasound in day 3 of 4 of my cycle. I start 7.5 mg of femara for 5 days. I follow up on day 12 to see the size of my follicle(s). I have done my trigger shot, Ovidrel, on day 12 between 8pm and 10pm. We are back at the clinic on day 14, 36 hours post trigger for IUI procedure. So far, all negative pregnancy test.

IUI - $700 Ovidrel trigger shot -$107 Femara -covered Office visits - couple hundred? Blood work - covered Insurance does not cover any infertility.

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His strengths are communication and empathy. He always takes his time to thoroughly explain every step, test, or procedure. He draws pictures and will go over the information as many times as you need. He is upfront, honest, and to the point but the delivery is always kind and empathetic. He unfortunately had to be the one to confirm that I will never get pregnant with out IVF. Although his words shattered my heart, I felt comforted and reassured by the way he delivered that message. I could not have asked for a better Doctor. There is nothing I would change about my experience with him.

You can trust him. You can be open and honest about your fears and concerns, he will always listen and try his best to reassure you.

We never went through a treatment cycle. He did diagnostic testing and then a surgery. After the surgery it was found IVF is our best (only) option so we have been saving since.

We chose USF IVF (South Tampa) because our sperm was frozen there and we had no idea what we were in for! Dr. Mayer was supposedly our primary care doctor, but we only saw him during our initial visit to sign up AND PAY FOR our IVF cycle. We literally never saw him again. I get that it's a teaching hospital, but there really should be some sort of consistency whereby the patient feels like their primary doctor is in-the-know. Dr. Mayer is very hard to understand and is not very good at explaining the IVF process. He claims to have told you something when he never did. Maybe he told somebody (another patient), but not me. We saw other doctors including Dr. Plosker, the department head, and he was equally as terrible. He didn't even know my name when he entered the room. He certainly didn't know our story - my husband had cancer and due to the chemo and radiation, his sperm count is now at zero. It's like nobody ever wrote that in our chart and I had to remind every person why we were there. As if having cancer and going through infertility in back to back years isn't enough! The only doctor that remembered or acted like he cared was Dr. Imudia, but we only saw him once. You never get the same nurse or doctor and they always act like you are a burden when you call with a question. That's IF you ever get a call back. They are either TERRIBLY UNDERSTAFFED or TERRIBLY UNORGANIZED AND INEFFICIENT - or both. We only had a certain amount of frozen sperm (5 total vials, that is all we had on earth and that is all we would ever have due to the cancer) and we were given HORRIBLE advice by Dr. Mayer to use 3 of those 5 precious vials for IUI's. I've been told now by two other infertility clinics that we never should have "wasted" these precious vials on IUI because we had such a limited supply and it wasn't worth the risk. So after we wasted 3 of our 5 vials on failed IUI's, we should have bailed on this clinic, but we still didn't know better. We did an IVF cycle with them and only retrieved 6 eggs after my egg retrieval. AFter that retrieval, we SHOULD HAVE BEEN ASKED if we wanted to thaw a vial of frozen sperm and still proceed (since we got so few eggs), but they didn't give us that advice. They used the sperm, only 2 embryos were created and neither tested normal after genetic testing. Crappy results we could handle, but come to find out (if we only knew then what we know now), they could have saved the remainder of the sperm for that vial and it could have been re-frozen. It was something like 14 million sperm and they only used a couple - the rest can be re-frozen for future use!!! We HAD NO CLUE this was an option and it was NEVER PRESENTED TO US. So they threw the remainder of the sperm away - KNOWING we only had one more vial on earth to work with. SO INCREDIBLY CARELESS - and our second IVF clinic, the one we're currently at, can not believe we were not told that sperm can be re-frozen and used over again. They knew my husband had cancer, they knew he was not producing any more sperm, they KNEW we only had one vial left and they didn't care to tell us how to save the remainder of what could have been saved from our 4th vial. They just threw it out!!!! So, we were left with one vial out of 5 and we quickly decided we would never trust them with our final vial and we got it the HECK out of their freezers and across the state to an IVF clinic in Jacksonville. They also didn't make it easy for us to retrieve our final vial of sperm, it was also a pain in the butt process, but we got it done and out of there.

Do not use USF IVF.

Dr. Mayer followed a standard protocol with us, we were not seen as an individual case, but a number. We told them over and over we only had a limited amount of frozen sperm to work with and each time we were there, it's like nobody remembered this. When our cycle failed and we asked him what he would do differently, he told me "you need new ovaries." WOW. I have no known fertility issues, our only issue is the fact that my husband's sperm count was wiped out because of his cancer treatment. He was referring to the fact that more eggs may have produced better results since it's simply a numbers game, but he literally has no bedside manner when speaking to patients. New ovaries? Nope, how about a new doctor. One that cares, yes, that's what we needed - somebody that cares - or at least can act like they do! We needed a doctor that looked at our specific circumstances and offered proactive advice based on our personal case, not based on numbers. For example, knowing only 6 eggs were retrieved and knowing full well it's a numbers game (the more eggs you get, the higher your chances are of getting normal embryos), they should have: 1) given us the option of whether we wanted to proceed with thawing a vial and doing ICSI on the 6 eggs, 2) advised us about our odds with only 6 eggs, 3) recommended either freezing the eggs and doing another cycle to increase our odds, or 4) TOLD US WE COULD RE-FREEZE the remaining sperm from the thawed vial so that we had more chances should we need them in the future! Nope, none of that was offered or advised. If ONLY we knew then what we know now! But we weren't the experts, we trusted them to be the experts and give us the best advice for our specific circumstances and they failed over and over at that. In total, they wasted 4 out of 5 vials of the only sperm we had left to create a baby.

$18K for IVF, $2K for IUI

I feel like I was taken advantage of, not because it didn't work but because of his care. He was distant, played on my desperate emotion by promising false hopes. At first, he seemed to care, but after each visit, I was left wondering if he even knew my name. After the chemical pregnancy ended, his aftercare was atrocious. He even changed his percentage, and insinuating that he knew it was not going to work. I honestly feel like he swindled us out of money. I would never recommend him to anybody.

If you choose to use him, get second opinions and be skeptical of his promises.

I injected myself twice daily with very high hormones. They monitored my eggs at first every four days, eventually it was every other day. Once the eggs were transferred, I had to put progesterone in vaginally. Unfortunately, I travelled to Ireland one week after the transfer without any hesitation from him. Also, during the injections and after the transfer, I was not allowed to drink or exercise.

15,000 plus extra for all the unecessary bloodwork.

He is a very thorough doctor. Tells me his honest opinion and doesn’t sugar coat anything. He is Always on time when I have an appointment. He is very professional and has perfect bed side manner. My husband and I experienced a miscarriage this past year and he was very comforting and sincere when he gave us the news. He sat with us and helped us decide what we should do next.

Just know you might not see Dr Imudia at every visit. Sometimes you might see his nurse practitioner or another dr there

Dr Imudia had me take 7.5 mg of Femera for 5 days. Then come in for ultrasounds on day 11- if my follicle was the right size they would have me take my trigger shot. 36 hours later I would come back for my IUI. Two days later I would start my progesterone 200mg two x day

Every IUI i had cost us about $700 dollars plus 100$ for meds

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I did timed intercourse with Letrozole for 10 months before we moved forward to IUI. In the consultation for that, he said that after 6 months of treatment my chances of getting pregnant with medication/timed intercourse were minimal. How did no one told me that after 6 months? I expressed concerns that I may have endometriosis, he said it was possible, but there was nothing we could to about it.

Please pay attention to each individual case. After my IUI I had intense ovary pain and with my history of PCOS, it could have been OHSS. I told him and he said it was normal and to take whatever I regularly take for period related pain.

Letroole 5 mg. For IUI round: Letrozole 7.5 mg, Shot

IUI, $740 Ovydrel Shot $150

Anthony Imudia genuinely wants you to have success. My failure to conceive is his failure and he stresses over options because he wants to make it happen for you. He held my hand literally just before my retrieval to put me at ease, he didn't have to do that.

He does not sugar coat, hes very straightforward in a very tactful way, you are in good hands.

After the first failed IVF Dr. Imudia changed from ganirelix to lupron. He explained to us since the first protocol didnt work he didnt want to repeat the same one and we agreed. Although he did give us the option to keep the air protocol.

Total of $26,000 for 2 cycles with medication costs included

We were glad that Dr. Imudia opted to transfer 3 embryos on our first try as some clinics are opposed to this method. We wanted the most aggressive treatment plan possible given our age.

Very informative and honest. I did a fresh transfer which resulted in a negative pregnancy. During the follow up appointment, I was told better outcomes happen with frozen transfers. I wish this was presented to me during the first cycle. That is my only complaint about my experience with Dr. Myers. Otherwise, he was a very good doctor.

Always ask questions.

Not sure

Before the IVF procedure, we spent at least $2000 out of pocket for consultation and ultrasounds. The IVF procedure was $10k and medications $1300

For my age, Dr. Myers would only transfer two embryos.

He was understanding to my situation and offered the best plan of action to move forward. I felt like he was doing what was best for my diagnosis but I didn’t feel like it was the only option I had. I was given only 2 options and I felt like maybe I had more alternatives. I ended up becoming pregnant on my own without assistance and followed up with his clinic for my perinatologist care.

Ask questions, make a list ahead of time. I didn’t and would get home and remember things I wanted to ask.

I had and HSG done along with blood work and that was all. My HSG revealed I have a blocked right tube. My blood work showed I had low AMH. My protocol was to do timed cycles at home first with clomid and then move onto IUI. His treatment strategy included us probably needing IVF. We took a break after the timed cycles. I ended up getting pregnant naturally with a PCOS diet and weight loss in 2012. I had a missed miscarriage and ended up taking another fertility break so I didn’t follow up with the clinic again until I got pregnant again in 2014. Where I was referred to USF to see a Perinatologist because of my AMA and not Plosker because I was already pregnant.

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Dr.Imudia has been a wonderful Dr. My first cycle we started on a low dose for IVF meds and realized my body needed higher doses so we adjusted. When it came to round two Dr. Imudia really had a better understanding of how my body reacted to the meds and created a protocol that was best suited for me without having me be over stimulated.

He is worth the wait!

Monitoring appointments were only a issue on the weekends. It is slammed on the weekends.

My first fresh transfer of a single embryo did not take. Not PGS tested. Second FET (2 embryos) one took but ended in miscarriage. Not PGS tested. About to Do my Next FET Of (1 PGS tested embryo) next month

He listens well and respects you as a person. He is factual and provides options for treatment. He works at your pace and does not make you feel rushed into treatment. He is open with communication. He is compassionate regarding past experiences (miscarriage, etc.).

To call as soon as they can! He is helpful and provides options for treatments.

At first he tested my tubes, blood work, and sent my husband for an SA. We are currently under MIF treatment, along with preparing for IUI or IVF.

So far our treatments have been covered and we have only had to pay co-pays. Treatment itself will be out of pocket, but our testing is co-pay.

Dr. P always showed compassion and told us how it was without being harsh. He explained in detail what we would be doing and potential risks and outcomes. He is an extremely intelligent Dr. and very thorough.

He books up quickly so be patient(as hard as it is) because he is so worth the wait!

We used menopur, gonal-f and 1 other I cant remember.

Dr.Imudia is the best doctor i have ever seen. He is very knowlegable and completely passionate about what he does. He was very thorough throught my journey. Are next step is IUI OR IVF. I Have never had any issues with him. He is so kind and very gentle. Which is very important when dealing with infertility. I am glad i found such an amazing compassionate doctor. He is the only one i trust.

He is amazing and you will absolutely love him.

Limit of 6 medicated cycles.

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Shayne Plosker always did his best to achieve what was needed and let me know every course of action he took. He advised me that right off the bat IVF would be needed to conceive. That IUI treatment would not bring the results we wanted.

Take your time and sit to discuss every possible opportunity that he and the clinic can give you.

We paid every cycle and medication that was given to us. As well ass each visit with Doctor Plosker

Dr plosker has a good bed side manor. Very compassionate and understanding . never felt like i was being rushed to finish my appointment. Always answered every question I had without a problem. He had a good fertility plan set up for me due to my specific medical background history.

Don’t expect him to change his fertility plan he has set for you. He will not do it. I asked to come in a day early for my ultrasound and he refused. He said that not his plan for me. Definitely not flexible for appointments either. Hard to get there when they want you to be for appointments .

He first wanted me to start Clomid but I told him I already did four rounds of it and I did not like the side effects it gave me. He decided to start me on a different med with less side effects. And it worked got pregnant the first month we used that in conjunction with IUI. Unfortunately it ended up in a miscarriage. But he said that it did work And we will try it again.

IUI was about 700 every treatment plus trigger shot and meds that were abother 120$ over all this is hundreds of dollars less than most places .

He’s very detailed in explaining, makes you feel comfortable and makes sure you understand and are following along. He has made me feelcomfortable during procedures and I was never scared going into treatments or surgery with him.

Be patient

If I believe correctly we did a normal protocol. I remember the nurse saying this is the usual go to for the treatment for the average cycle. I believe I had a good outcome. I had possible diminished ovarian reserve. I remember taking menapur 2 powders, lupron, and Gonal F 300 units. Im not sure why the dr prescribe it the way he did. I just trusted him and did what they told me. I got 10 eggs, 7 mature and 7 fertilized through icsi. I transferred 2 and then 1 almost made it to freeze but did not. I had a chemical pregnancy from that transfer.

I make my on work schedule so it was fine for me. I knew they always did them in the morning so it was ok.

ifv was 10,700 with icsi. meds were separate. Iuis were 650 for basic with monitoring, they price raised half way through our 6 we did to $700. pre opt testing was covered under insurance.