West Virginia University Center for Reproductive Medicine

Dr. Rowan is very good at answering questions and explaining the latest research and reasons behind something he recommends. He also always took our preferences into account and was willing to do things differently than recommended if we wanted to. He can occasionally come across as a bit hurried or blunt but is never rude or unfriendly and I appreciated his candor.

Always ask any questions you have and don’t keep quiet just because he is very confident or assertive about something! He will listen to your preferences!

Because of my AMH level and my risk of OHSS Dr. Rowan prescribed a low stimulation protocol for my egg retrieval. I did have mild OHSS but it wasn’t an issue since we weren’t planning to do a fresh transfer anyway. After multiple failed FETs he recommended doing a hysteroscopy and was able to remove a small uterine cyst. When also recommended a uterine biopsy to test my receptivity and this resulted in changing my progesterone timing with transfers and resulted in a successful transfer!

I had insurance that covered almost everything. I paid out of pocket for embryo thawing ($400 each time) and $500 per year for the embryo storage fee.

I really appreciated how Dr. Rowan educated us on all the options and was very supportive of our decision to only do single embryo transfers.

At all of my appointments I felt well cared for. All of the procedures were well explained. Dr. Rowan is very matter of fact so much so at times his bed side manner suffers. At each appointment I came prepared with questions and he was very patient with me and answered all of them.

Advocate for your care and research your problems.

For 10 days follistimAQ 225 iu once a day,menopur 75iu once a day. The last 5 days Ganirelix 250 mcg with the other injections. Trigger shot with Chor Gonadot 10,000 unt injection. 9 eggs were retrieved, 4 were mature, 4 fertilized with ICSI. 1 at day 5 and biopsied for PGS.

The total was $14,000. Just the egg retrieval and ivf with ICSI was $10,000 and the tranfer would have been the other $4,000.

Dr. Rowan was polite but not warm mannered. He is not the type of doctor to ask about you or how you are doing. He comes in and does his job then leaves. He was direct about what he was doing and what he expected. There had been visits where I felt I was mislead to have a better outcome due to my age. Before my retrieval he suggested canceling due to my low follicle numbers, saying that he was surprised about the outcome. Although we knew my amh was low, I believe he thought due to my age medication protocol was high enough when it may not have been. During my transfers, he was very gentle and the procedure was done quickly. Unfortunately during my second transfer, he seemed rushed and removed the catheter before we had the all clear, which upset me, because what if it wasn’t all clear. Overall I think he is a good doctor, knows what to look for in ultrasounds and knows how to do the task at hand, but I would have chosen another doctor at the clinic if I had known how unfriendly he is.

Advice I would give a patient would be to advocate for yourself especially if you think the decision being made is incorrect.

For our egg retrieval, we did a month of birth control, I did 225 units of Gonal f, 75 units if Menopur, and towards the end about 3 days of Ganerliex. We triggered with Ovidrel and had the retrieval two days later. For my first transfer I did 1cc of progesterone in oil every night. And for my second transfer I did Estrace vaginally every night, baby aspirin, and 2cc of progesterone in oil in the morning.

My monitoring appointments always went smoothly and they were able to work with my schedule. They never hurt and made sure it was done quickly. There were some instances where I was left in a room for about 20 minutes before seeing someone.

My largest cost incurred due to medication expenses. Being on a higher medication protocol made it very difficult to come up with funds where the insurance did not cover.

The doctor himself did not have a preference, but my nurses did. During my first transfer of two embryos, he seemed surprised we were transferring two, as if he may have been updated that moment about it.

Dr. Rowan is very straight forward but does not stray from clinic protocols. They are very adamant on sticking to those specific protocols and do not budge on that. He is open to talking things through with you and meeting in the middle, especially if you are self-advocating and have research to back it up. He is very personable but professional. So far my experience with his has been good. The only downfall I can add is that he doesn't call with bad news, he has a nurse deliver that news. I've dealt with other clinics and never had that experience. This is an area he could improve on. This is an update to my previous review: he did not know when to call it with my cycle and my embryos paid the price. Having been seasoned with IVF, I know you truly can't predict an outcome, however, some more transparency with what we knew at the time could've avoided this cycles outcome in my non-medical opinion. I did ask for autoimmune testing before my FET with him (embryo from another clinic/doctor/retrieval). He declined and stated that they weren't really seeing results from auto immune protocols. I was later tested at another clinic, with another RE, and found NKa. The autoimmune-protocol FET with that clinic resulted in live birth. My IVF cycle resulted in a poor graded 7-day embryo out of 11; 7 mature. I had a feeling the Menopur would interfere with the quality given PCOS. What I didn't realize at the time is that we were stimming preantral follicles with no buffer med. My egg quality was shot from the start. This is something that I absolutely believe an RE should've been able to pick up on. I was willing to use that as a lessons learned cycle and do another retrieval there with a different protocol. However, things transpired since that made me decide to move to another clinic. Dr. Rowan could be a great doctor if he decided to move away from the white-paper and focus on the patient. I do believe this is WVU driven as well.

Do your research and don't hesitate to ask questions. If you're advocating for care or deviations have concrete reasoning prior to asking for things. If you think it's wrong, go with your gut.

For my FET I was on 8 days of birth control pills, 2 weeks of estrace, and 5 days of PIO. The rationale is that the protocol has good outcomes in comparison to others. Birth control times vary from 7-14 days. Egg Retrieval: Gonal 150iu 2x/ day, Menopur 75iu 2x/ day, Ganirelix 250 mcg & Novarel 10k iu. No rationale. I was too suppressed upon stimming. 11 retreived, 7 mature, 1 poor/fair day-7 blastocyst, PGT normal & still frozen. For comparison: Retrieval #1 was Gonal, Cetrotide, Pregnyl & Lupron combo trigger (4 day-5 blasts, Excellent quality, no PGT). Retrieval #3 was Birth Control down regulation , Lupron overlap, HGH, Gonal, Menopur & HCG trigger. Also had LH monitoring. (3 5-day blasts, good/excellent quality, 2 PGT normal).

With some preliminary testing and FET cycle roughly $1500.00 including meds and transferring my embryos to that clinic. For my upcoming IVF cycle it will be roughly $3,000 including meds but not including genetic testing on embryos as i have not received that information yet. Update: They used RGI for PGT results. The cost was $450 for 2 embryos, $200 per embryo thereafter.

Strong preference of 1. Ultimately it was my decision though.

He was by our side every step of the way and very personable. He was very compassionate when we did not have the viable pregnancy with IVF. The whole staff were wonderful! He listened to our concerns and helped us make the right choices.

He has been wonderful and is very attentive.

I have had 11 IUI and one IVF and one dc lap surgery. Honestly I don’t remember all the doses of the meds. I know with IUI we did an ultrasound on day 3 of my period started meds day five for the next five days and then came in for another ultrasound. Then took shot to ovulate then had the IUI the day after. The IVF was very detailed and I can’t remember the details of drugs and doses and times.

We paid around $12,000 out of pocket for IVF and insurance only paid for $4,000. So if we did this again it would be $16,000. Which we can’t afford

We only had one good embryo out of 14 or so that they retrieved. Which that was heart breaking for us so they could only transfer one. But we did talk about if we had more to do two.

Quite but answered questions asked. He was kind to pick up my case after completed initial consult with other physician (he went on medical leave). None of my transfers are working but don’t feel like that due him or this clinic.

Ask questions. Make sure you stay well informed.

Used a birth control for cycle before, follistim, and menopur with hcg trigger. Had good results with retrieval. Did not include a lot of extras everything based on solid research and not experimental which is a good and bad thing. Only issue I have with this is ivf is so unknown some experimentation is needed if it’s not working. I do not feel we tried anything new after my first failed. My second also failed to implant. Tried new protocol and retrieval with another physician but still failing to implant. So again to many unknowns to rate.

it was approx $11000 for retrieval and freeze all without medication, it was approx $3000 for transfers without medication. I don’t recall what I paid for pgs. I pay much less at my current clinic but I have to travel 8 hours and outside monitoring makes it challenging.

He is not the most outgoing doctor, but when you need information, he readily provides it. If you ask questions, he is always kind and compassionate in his response. I feel like he's always been honest and open with me.

Ask questions. I don't get a lot of information out of him unless I specifically ask questions. I am pretty shy, so that was tough at first, but once I asked a question and saw how responsive and compassionate he was, I was more comfortable asking them.

I had multiple surgeries with Dr. Rowan. He had a great bedside manner and would always come speak to me afterwards. I had one canceled IVF cycle where the medication was too low, and that was because they hadn't checked my AMH after a laparoscopy, and they didn't know it had been cut in half. So we did another round with higher doses of medication. I received more eggs than had been expected, but they were poor quality, and only 2 of 6 embryos made it to day 3. One was lower quality, but the other was beautiful. Both were transferred by a different doctor. I don't know the results yet.

There was pretty big price increase in March. Transvaginal ultrasound went up by around $130, and level 1 office visits went up by $20. Current costs: Transvaginal ultrasound: $299 Level 1 Office Visit: $99 Total Cost for typical IVF cycle: $11,500

Dr. Rowan once told me that he recommends only transferring one day 5 embryo for women under 35. They transferred 2 day 3 embryos, and had mentioned transferring 3 if a third one was good enough quality, but there was not a third one.

Dr. Rowan is younger so he is open to more modern treatments and tests. My first doctor would not do an HSG on me because he stated it was not necessary but Dr. Rowan insisted that it WAS needed and I gladly did it. He always listens to me and does not make me feel like I’m bothering him.

Come with a list of questions and options you are willing to try.

We always did either clomid or letrozole every cycle and both of those made me have hot flashes and feel pretty tired. We had one cycle of dexamethasone which i did not like at all! It made my blood pressure go up which made me have a red face and ears and just feel lousy. We had 3 trigger shots. One before each IUI we did which all failed. They didn’t cause any side effects other than my skin was sore and red at the injection site. All medications created 2 good size follicles every cycle but did not result in pregnancy.

During my cycle visits all I had to pay was my copay. Unfortunately my insurance does not cover IUI so that was completely out of pocket.

None

Dr. Rowan is a great doctor. He is personable, professional, has great bed side manner, is compassionate and understanding, answers any questions and takes the time to listen to your concerns and try something new if you desire. He is very patient and not only answers my questions, but my husband's as well. We highly recommend him and the facility in general, nothing but great experiences with the drs and the staff there

Take a list of questions and even if you think it's a stupid question, it's your body and you have the final say so. For example, during my day 3 scan , I was having horrible cramps and heavy flow so I declined the transvaginal ultrasound even though he said he would prefer to do it for better quality picture of my uterus. I again declined and he respected my wishes and we did a tummy ultrasound. Was fuzzy but we managed. That made me feel good that he actually listened to me and we made it work one way or the other.

We have done so many oral meds, Injections, procedures and all with no pregnancy. We try one thing for a few cycles and then if that doesn't work we move on to something else. It's always changing based on how your body responds.

Insurance covered most of my visits , IVF is out of pocket. Upwards of $16,000-18,000.

We are starting IVF cycle on October 8 so we haven't made it that far just yet !

Dr. Rowan is very friendly and is great at explaining the process of fertility treatments. He gets right to the point and doesn't encourage false hope. I appreciate that he always gives me the pros and cons of a treatment.

I would tell a prospective patient that Dr. Rowan gets right to the point about your diagnosis and treatments options. He will also give you all of your treatment options and the pros and cons of each.

We tried natural cycles, timed intercourse, timed intercourse with Clomid and Femara, IUIs with Clomid and Femara, and IVF. Our one and only retrieval and transfer resulted in the birth of my son.

IUIs approximately $700 (including meds from pharmacy) IVF with Fresh Transfer approximately $8,000 to $9,000 Frozen Embryo Transfer approximately $3,200 Embryo Freezing $500 for 1 year

Dr. Rowan is realistic about eSET and multiple embryo transfer. He gives you the choice, but will also give you his recommendation.

Dr. Horowitz is a doctor that genuinely cares and it shows. He is open to trying new methods if one doesn't work. We are undergoing our last timed intercourse cycle before we move on to the hard stuff. He is honest and to the point. Excellent bedside manner and I would recommend him to anyone trying to have a family!

Trust him with your care. I know it's hard to let go of control especially during TTC as it is stressful and there are so many unknowns !

We started with the "easy" stuff (femara, trigger shot, ultrasounds, bloodwork) . If we have another unsuccessful cycle, we will be trying something else. I trust him and know he has our best interest at heart genuinely!

Our insurance covers all except our copay

I feel like he truly cares about the outcome. He was always the one checking me and would have me go into his office after to talk. He explained everything and answered any question I had. When things weren't going as planned, he decided to try something else. He was understanding about my fears and tried to make me feel better when I was worrying.

Trust him! He really knows what he is doing and is great at making to feel more comfortable with what is happening.

I started with taking 1 pill (Femara) for 5 days then doing timed intercourse. We tried this for a few rounds. We were unsuccessful in getting pregnant. Then we bumped it up to 2 pills for 5 days with the same results. Next we added dexamethasone (1 a day for 14 days) along with the femara. Same results. Then we did those pills with an HCG shot. We did one round like this with no success. Last, we did the pills and a series of 3 shots. No success. At this point I stopped for monetary reasons. It had nothing to do with the doctor.

The initial visit was around $180. After that every visit was $75. If they did an ultrasound looking for egg follicles, it was around $150. Everything is due that day.

Dr. Horowitz was relatable and compassionate. He throughly explained all treatment processes, risks, and outcomes. He took his time during each visit to ensure that my husband and I knew what would be happening next. I couldn't ask to be under a better doctor's care.

He speaks quickly. So just ask him to repeat something if it isn't clear at first.

I'm not sure at the current time. He did tell me that a few of my eggs were not as mature as the numbers stated. A few of them were in the M1 stage. That during our next round he would add estrogen to my early Med list to help drive some of those eggs to maturity.

We paid for the ivf and frozen embryo transfer all at one time. The cost was $15,300. In addition, we paid $3,000 to reprogenetics for our pgd testing

Dr. horowitz is no nonsense. He likes to tell what he knows, how he knows it, and explain how he went through iVF as well so he knows what it is like. He gave me his personal cell phone number and when I called he called me back the very next day. It was nice to be able to speak with him directly when I needed too. Every time we talked about a plan he went over my previous data, drew me some diagrams, gave me the options, then handed me the paper.

Ask questions because he will be happy to answer them.

My first IVF cycle with him we did Follistim, Menopur, and Ganarelix. He put me on a higher dose of Follistim because of my low AMH level. He said while my levels were extremely low, my AFC was decent at 12 so we could still do IVF. He wasn't ready to go to donor eggs. My second cycle we tried estrogen priming with Follistim, Menopur, and Ganarelix. He added in the estrogen to try and get more eggs mature since the first round we retrieved 10 but only 5 were mature. It worked as 10 were retrieved and 8 were mature this time.

IVF cycle (transfer and retrieval) $5500 IUI's $400 Ultrasound $150

Dr. Toffle was very straight forward about my treatment. He would draw me a diagram of anything we were doing and list all of the options. He would then give me this paper to take home. At my appointments I always saw him and not a tech or a nurse. He was caring and compassionate. When my cycles didn't work he was sympathetic. I went to him just for monitoring first and even though he wasn't doing my actual medical cycles he still cared about how I was doing and checked in on me.

Go to him soon as I think he'll be retiring soon.

We did Letrozole instead of Clomid on my IUI because I had 3 failed Clomid IUI cycles. I couldn't do IVF until the summer so he said it wouldn't hurt anything to try Letrozole and do IUI's with that.

Monitoring ultrasound were $150, IUI's were $400

Dr. Rowan always shows a plan of action but unless I pushed for Answers it was hard to get answers as to why we were doing certian things or adjusting plans. Strengths would be he seemed knowledgeable weakness would have to be communication.

Ask questions! And don't hold back. BE YOUR OWN ADVOCATE!!

Pcos & anovulation is my diagnosis. I had a d&c to get some Scar tissue out. Then we tried letrazole which I did not respond. Clomid actos and dexamethasone producing eggs but no pregnancy. Our final tx was follistim injections.

Ultrasound $299 Office visit $175 IUI $212

Dr. Horowitz was very friendly. He would always explained everything we needed to know about our plans for each cycle. He got right to the point when explaining to us about our issues when dealing with fertility problems and doing ivf.

Ask questions!!

First we tried several cycles of femara and hcg infections. Moved on to IUI with injections. Last IVF with a lot of injections

Medications and injections had copays. Usually only a $10 copay. IUI $708. IVF with ICSI plus assisted hatching $14,188. Genetic testing was $500. FET $4,000

We were only allowed to transfer one at a time. We wanted to transfer two embryos actually. Only because it’s another $4k each time to do a transfer. In our minds we thought maybe it could’ve worked better and saved us money

Is detailed in answering my questions. bedside manner is good as he takes time and does not hurry the appointment. gave me hope in that I could still conceive even with my diminishing ovarian reserve. He tried multiple things to get me to ovulate through medications

Bringing your spouse to the appointment helps immensely as he seems to like to meet them. He is thorough at trying to figure a solution to all problems.

I had two cycles of medications starting with Letrozole. when I went back for the US to see if it was working he prescribed me another round of medicine right there at a higher dose to try and induce ovulation. this happened for two cycles.

costs for most office visits are covered by my insurance. all medications that are prescribed are not. testing like labs and ultrasounds are partially covered because I work for another hospital in town.

Our first transfer went well. Treatment after our baby, was so bad I am seeing another doctor. He couldn't believe that I would want 2 under 2, and was adamant that the risks were astronomical. I was cleared by my primary, my obgyn AND maternal fetal medicine. Everyone on my team feels that I am healthy enough to concerive and that I would only requjre high risk monitoring. It is my understanding dr meter. is on medical leave without any idea on return.

If you aren't the ideal patient select another person.

We used donor eggs so typical transfer prep

I asked about transferring multiple after reading about age and he said no.

One of the best bedside manners that I’ve encountered. Always explains everything in complete detail at least once and never leaves you wondering. He made sure my partner and I both felt comfortable and understood the whole process and treatment plan. I’m only on my first medicated cycle with him as my doctor, but I am very hopeful that I will be pregnant soon.

Don’t be afraid to ask questions.

For my first cycle, we are doing femera 5mg on cycle days 3-7 along with a day 10 ultrasound to determine if hcg shot is needed and plan on using timed intercourse. The reason for starting at a 5 mg dose is because I previously used femera with a different doctor while trying to conceive. I am still in this first cycle so I am unsure of results so far.

The costs were lower than I expected.

He listened and explained everything thoroughly in terms we could understand. He worked with us and made sure to know what we wanted and what our limits were and did everything he could to help us. He was so patient and kind and truly a light in a time that we were struggling to understand why we couldn't get pregnant.

I would just say ask questions and know how far you want to go in treatments...he will respect your wishes.

First, we started with just clomid. It did not react well with my body so we switched to femara. My body responded better to it. We did that for several cycles then included IUI with it. We did IUI twice. It didn't work. Dr Toffle was willing to do a third but we actually chose to pursue adoption and stopped treatments.

My insurance would cover the medications and some testing. However, it did not cover the IUI so it was around $600 per time.

I’m not sure how he does it, but Dr. Rowan is one of the most attentive dr’s I have ever had. He is always available to answer questions, and makes sure you understand every aspect of the treatment. I would recommend him to anyone dealing with infertility issues.

First iui we did letrozole for 5 days, and then trigger shot, and an iui. That one ended up failing. Second treatment we did letrozole, steroid, trigger, and iui. That resulted in pregnancy, but ended in a miscarriage at 11 weeks 4 days due to a chromosome issue. Third iui was letrozole, and trigger shot, then iui. This one failed, and when we tried to started another iui we found that I had a cyst from the treatment. We are currently taking some time off.

It took a little time for me to adjust to his bedside manner, but with time, I truly saw what an amazing doctor he was. During my miscarriages, he took amazing care of me. I feel like he is a conservative doctor and doesn't try to move straight to the expensive and risky fertility treatments.

He is in the process of retiring, so this won't really apply.

He was big on using pills, tracking ovulation and using ultrasounds to track eggs/activity. He always made room in his schedule for any needed appointments.

I believe IUIs were $250

On first visit he did tests then sat down and explained everything not being rushed and let you ask whatever questions you may have. After couple IUI fails if he doesnt think its going to work due to unforseen circumstances he didnt waste your money by continually trying and moved to next step. Explained before reasons why he may next be able to retrieve eggs so that you as the patient arent going in knowing you have so many eggs yet he was unable to retrieve. Gives you everything from the beginning and doesnt completely sugar coat what may or may not happen but in a very polite professional kind way!

If you want a dr that will sit down and speak to you on your level and do all he can but will also tell you when he cant instead of having you go through hoops of medications and failed attempts. But he will also do all he can to get you that baby you want then he is the man you want:)

5 of femara for 2 cycles with shot for timed ovulation for the iui which both failed. 3rd iui was given 7.5 of femara but only side that may have been blocked produced so cancelled after U/S for rest of IUI

Each IUI cost around 700.00 A sheet was given where it would cost all together with medications for IVF around 14,000 give ot take if by chance any of my medications would be covered. I personally had no coverage for anything including any testing to see where the problem lied with why we werent getting pregnant

We hadnt gotten that far because during time i was taking birth control and about to start baseline for IVF I got pulmonary embolisms so waiting to be cleared but will update if possible

I enjoyed seeing him-he was very knowledgeable and smart. But I didn't see him at every appointment which then hindered my treatments-because the other drs wouldn't know what he wanted to do next. I had to repeat 2 cycles due to nothing in my chart about out next step. Also, when they decided it was time to move on to IVF the grant websites he gave me where no longer up and running.

Ask him to write down your next steps if this month fails. So everyone can be on the same page.

First month was my initial visit with blood work and transvaginal ultrasound. My second and third month I took metformin and letrozole and had timed intercourse. My fourth month I didn't see Dr. Horowitz-but I was ovulating and they ended up doing an IUI-my fifth month we did letrozole, injection and IUI. The sixth month I did letrozole, injection and timed intercourse. The eighth and nineth month they changed my injection and we did letrozole and IUI. No timed intercourse or IUI resulted into a pregnancy. So, in October they discussed our option as being IVF. They gave me 2 websites to apply for grants that are no longer up. I have not been back since the discussion of IVF

I had insurance coverage-but my insurance denied all of my IUIs which was 6 of them-they still haven't covered it. The billing says it is my responsibility to get the insurance to pay which I do not agree with. Also, they have never called me any time of details if we would decide to do IVF.