Barry Ripps

Dr. Ripps is very confident in his practice and clinic. He was confident that we would get pregnant easily with treatment and we fully trusted him. After multiple IUIs we were no closer to our baby and decided IVF would be a better option based on his recommendation. I never saw Dr. Ripps during my IVF monitoring until the day of egg retrieval. Also, Dr. Ripps never reached out after our failed transfers and I only heard from him when I called with questions. His ego needs to be knocked down a few notches and he needs to limit the number of patients he sees so that everyone can receive the appropriate care from him.

Understand that we will only see the nurses or nurse practitioners during your treatment and will not see Dr. Ripps unless you have an egg retrieval, embryo transfer, hysteroscopy or surgery.

Each IUI used Letrozole. Progesterone was added after first IUI resulted in pregnancy and progesterone levels were low but was not given for subsequent IUIs or pregnancy. 1st and 2nd IUIs were on 5mg Letrozole. 2nd IUI was cancelled due to no follicle growth. 3rd IUI Letrozole increased to 7.5mg. 4th IUI Letrozole increased to 10mg at my request. Egg retrieval used 150 FSH, 150 Menopur, Lupron trigger and cabergoline (to help with OHSS). 1st embryo transfer used birth control, Lupron suppression, baby aspirin, prednisone, metformin, progesterone in oil, estrogen patches, doxycycline. 2nd embryo transfer used Lupron depot to increase suppression, birth control, Lupron suppression, baby aspirin, prednisone, metformin, progesterone in oil, estrogen patches, doxycycline, platelet rich infusion to help uterine lining be more receptive.

Diagnostic testing was covered through my insurance and I paid $40 co-pay for each office visit. Each IUI Letrozole cycle cost approximately $1000 plus the cost of medication. The IVF cycle cost approximately $19,500 which included monitoring ultrasounds, bloodwork, egg retrieval, anesthesia, ICSI, Lab fees for embryo development, short term cryo-preservation plus the cost of medication. Genetic testing of embryos cost $4500 for up to five embryos. This did not include the cost of the PGTA testing that was performed by the genetics lab. Each Frozen embryo transfer cost $3600 which included the thaw process, Lab fees, monitoring Ultrasounds, bloodwork, and transfer procedure. Platelet rich infusion cost $350. Beta hCG pregnancy blood test cost approximately $115.

He seemed knowledgeable, but talking to men is always hard. He skipped introductions and just got straight into talking about my womb. It was a little jarring. I've only seen him one time. So it's hard to give a lot of details. He had a lot of really good information. I asked about IVF, and he looked at me like I was crazy to even ask. He said why would I even do that? and I said i didn't know about the options I just wanted to asked and I was told to research about what I wanted to do.

Advocate for youself.

I hardly saw Dr Ripps but the treatment was going to appointments like 3 times a week for like 2 weeks. They kept checking my uterus to see if i was ovulating. I was given letrozole ( I asked about clomid, and they said no), and after my follicles grew large enough, they gave me HCG. They said I had a very low egg count lower than the average women my age. They said I should get pregnant between 2-3 cycles like the average woman would.

It was like 1k dollars a cycle. I wish I had a save button, but it was probably like 5K or even more spent on testing, consultation, lab work, etc etc

I met with Dr. Ripps twice. The first time via zoom and I left that meeting feeling great about him and my future treatment. The second appointment was in person. He was very detailed oriented and went through a lot of data with a PowerPoint. It was very informative but not necessarily specific to my case. He seems very knowledgeable and competent but he made me feel stupid for asking questions. He also made his prices seem much cheaper than they are. I left that second meeting wondering if I picked the right doctor. I had way more embryos make it to blast with the egg retrieval I did with him. He did order a different med protocol than I did for my first egg retrieval (with a different doctor) so that could be a reason why.

Make sure to read the pamphlets before hand so you don't get too lost when he's going over his presentation.

I did IVF with embryo freezing and genetic testing. For the egg retrieval I did gonal-f 150iu/day and menopur 225iu/day. Got around 16 eggs, I think all of them fertilized, 7 made it blasts. I think that says good things about the clinic's lab.

Between $15,000-$16,000 for an egg retrieval. ICSI is included (they do it for all of their patients). Short term embryo storage (around $2000 if I remember...which seemed pretty expensive to me) was included in the price of egg retrieval. That also included the monitoring. I can't remember how much a transfer is but I think it's under 5,000.

He does educate you on the trade offs of 1 or 2 embryo transfered in the pamphlets but we haven't really talked about it yet. We haven't planned for a transfer yet but I'm guessing he will suggest 1 embryo since we are doing genetic testing.

He was very cold and uncaring the first time we met. He made some rude comments to me when I was upset and going through my history of miscarriages. He would also make make you feel dumb for asking legitimate questions. He did seem like a decent doctor as far as being knowledgeable in his field, but I did find some contradictions with his treatment plan and my new clinic's treatment plan. I very much felt like a number and that he was pushing IVF before we exhausted other options.

If you have a thick skin go for it, for me it was worth it to switch clinics.

Testing

Dr Ripps works with several locations within this clinic, so it was rare and infrequent that we were in touch with him personally. I always seemed to feel he didn’t share the same urgency as we did with our situation - that he felt our push to begin more intensive treatment methods wasn’t originally something he supported. Dr. Ripps has a great bedside manner and seems like he cares about your successes. However, there were several times when my husband and I left the clinic with unanswered questions. Some of the prescribed treatments and procedures left us in the dark as to what was going on. This in part is a testament to the communication between him and the nurses at the office location where we were patients. Dr Ripps also mentioned to us, after a year as patients in his office, that he knew of some abnormalities in my scans since I became a patient with him, but he didn’t view those abnormalities as dire, so he never mentioned them to us. That certainly created doubt in my mind, because I felt we should have been made aware of anything and everything that could be a cause to impact our fertility.

Be prepared with questions when you schedule an appointment with Dr Ripps! Since it is few and far between that you will actually meet with him, any questions you have are better answered in person. Also, understand that he leans on the cautious side of things - meaning, he generally doesn’t agree when patients come to see him with a sense of urgency, or who are looking for quick results. Dr Ripps advocated for my husband and I to attempt to conceive with timed intercourse and light meds to assist. If we hadn’t pushed for us to begin IUI/IVF (more intensive treatment), I am confident he wouldn’t have us on that path still today, over a year into our treatment.

We began treatment with Dr Ripps in 2019 after a miscarriage And over a year of TTC on our own. Our new patient initial consult was with a NP, not Dr Ripps himself. We were sent for testing (a dye test to determine if my Fallopian tubes were open and also a scope test of my uterus). Both tests supposedly yielded normal results. Subsequently, we were advised to begin a trial cycle using meds to see how my body would respond. Roughly 5 months after my new patient visit, we began a cycle of clomid and timed intercourse. This resulted in a negative pregnancy test. We were told cycles were scheduled every other month, and on our second round we were prescribed stronger medications. We were told not to try that month as the medications produced too many eggs and therefore a high risk of multiples. Cycle was cancelled. We tried a third cycle of medications and timed intercourse that was unsuccessful, when we pushed to begin IUI. That was completed by a nurse at the Mobile location, yielded negative results. We were then scheduled for a second IUI, however the medications were again too strong and we were told to go home and try on our own, without using the trigger shot. However, then we received orders not to do this and to abstain. At this point, it was already too late. This resulted in a chemical pregnancy. Finally my husband and I pushed to begin IVF. I was told I was a high risk of OHSS and was told to order two different trigger shots (would take a specific one to manage OHSS if needed), and was instructed not to do the specific OHSS shot, but proceed with the normal shot. Egg retrieval yielded 29 eggs, 17 embryos. However, I also ended up with severe OHSS and was told I could not proceed with fresh transfer. We completed one frozen transfer the month following, resulting in a negative pregnancy test. Going into the second frozen transfer cycle, I was told there were abnormalities with my lining and I needed further testing. Two subsequent transfers were cancelled in order to repeat the same scope testing I completed as a new patient a year ago. Also was a called in for a saline infused sonogram, which was not able to show Dr Ripps anything. Ultimately was told I needed to go under the knife for an exploratory procedure to determine if I had uterine lining damage from a miscarriage prior to us being patients with Dr Ripps. At that point, I became skeptical because I felt that potential damage should have been something they discovered during initial testing, when at that time I was told there was no damage. Ultimately sought a second opinion upon scheduling the exploratory surgical procedure

We paid a deposit of $5,500 for our first IVF treatment (supposed to include the retrieval and one transfer). Our transfer was cancelled due to OHSS, and we never saw a dime of that back. In scheduling our first frozen transfer, we paid $500. Each IUI was $350, and diagnostics were a $250 co-pay

I requested 2 embryos be transferred for subsequent transfer procedures after our first. It was difficult to even get Dr Ripps to review that request, as it has to go through the nurse, who relayed the message to him. He then considers and relays the message back to us through the nurse. We ultimately never got consent to transfer multiples. He is very much an advocate of transferring one embryo in most conditions

He is very patient friendly meaning that he makes you feel comfortable. He allows you to ask questions and actually encourages you to. He explains everything in a way you can understand it. He provides you will information via the screen as well as paper handouts so you have something to refer back to when you get home.

Don’t be afraid to advocate for yourself and ask any question no matter how silly it may seem.

I have only had tests and procedures done with Dr. Ripps at this time. He had a consultation with my husband and me to explain that during January and February cycles we would have several tests done to check our reproductive health. I had blood work done to check for generic carriers and my hormones levels. I had transvaginal ultrasounds done during my cycle to count follicles and check for ovulation. Then, I had a test done with saline water and bubbles to see if my tubes were tied. I have been diagnosed with low ovarian reserve. I had a laparoscopic procedure scheduled to check for endometriosis but that has been postponed until after COVID19.

So far most of our cost has been covered by our insurance but when it isn’t we are sent a bill pretty quick, but also we are informed ahead of time if their will be an expense on our end.

I do not have any experience.

I would say overall he was a great doctor. He was very blunt into the point and made sure we knew what we were getting ourselves into as well as what our test results had said. I wish I had seen him more than just for the consultation and then again to go over the results of all of our labs but I know that he is working at two or three different clinics and can’t be there all the time.

If you’re going to the mobile location don’t expect to see him a lot but when you do talk to him he will be very honest and blunt with the information he gives you

The only thing that was prescribed to me was vitamin D3 500 mg as I guess my vitamin D was low on my blood results but other than that the first few visits we’re just getting blood drawn and transvaginal ultrasound and they did do a testicular ultrasound on my husband. They then sent me to the Pensacola location to have my HSG and hysteroscope procedure done in one day.

It was really expensive but they were able to get insurance to cover some of the blood test

I do not. We have not made it that far yet

Overall Dr. Ripps is very experienced professional. His strengths are being thorough and confident in his job. He is very thorough with assigning diagnostic testing and labs. He covered all bases to determine the issue of fertility. His confidence was very reassuring when the fear of unknown is looming. To my husband it kind of came of as arrogant, but I appreciated his certainty. During all the tests and procedures he was present for he made me very comfortable and informed me of what was to be done and expected. His weakness would be availability. He has multiple clinics in the panhandle so his schedule is very tight, I had to wait 4 months from my initial consultation to the “plan meeting” to determine course of action. Also, during the plan meeting it felt very rushed like it was on a time constraint.

Set up an appointment now! Even if you’re unsure of your fertility status, get your name on the books. It’s better to cancel an appt then wait months. Also do some research before the initial appointment. I’m in the medical field so I understand most medical terminology but my husband did not. I felt it was very helpful to research things on social media (Facebook groups or Instagram influencers), and friends that have experienced infertility. For me google did not have most the answers I was looking for.

For my IVF cycle they started me off on birth control to take control of my cycle. Then after my baseline monitoring was done I was started on a high dose of stimulating medications due to my low AMH/DOR. I was dosed 225IU of Menopur and 225IU of follistim. I was on stim meds for 8 days. I had 3 very large follicles (22-26mm) and many other small follicles (14-16mm) So it was a battle of making sure my large follicles didn’t grow too big, and the smaller ones could catch up. Once the stim process was done, I triggered and set up the egg retrieval. The egg retrieval yielded 7 follicle: 2 cysts and 5 eggs.

The cost of my care was completely out of pocket. My health insurance did not cover anything. Consultation appointments were $200-300. Each lab were anywhere from $30- $150. The clinic offered to send out some labs to the cheapest testing site since they knew I was paying out of pocket. For the IVF process the cost was $10,400 and that including the cycle ultrasounds, labs, cyroperservation of the embryos, anesthesia and the embryologist.

My doctor told me initially that due to my age and guidelines I was only allowed to transfer one embryo. He did not want to risk the chance of having multiples. He did talk about it again on retrieval day that if I had embryos that graded low we might transfer 2. But only if I did not have 1 good scoring embryo. I ended up with 1 4BB which he thought was good enough to just transfer one.

Dr. Barry Ripps is strong in selling his procedures, products, and services but weak in listening to the patient. I asked questions that I knew the answers to already to see what he would say, and every answer was negative, but it was said with a smile and a suggestion that I choose this procedure or that medication. I wasn't told the positive possibilities only the negative possibilities which made it seem as if I needed to spend thousands of dollars to follow his regimen.

If this is the only doctor that your insurance covers and you have to go to him, go informed and ask questions to see where he is with you. Does it seem like he's concerned about your well-being or does it see like he's trying to sell you his products and services? Ask about possible positive outcomes if he doesn't bring them up.

I received fertility testing and advice on what to do to achieve pregnancy.

Everything was paid for by my insurance, so I don't know.

none

He is very quick to deliver information and mostly just points to the computer screen and goes over results. You rarely see him but he has to approve everything. He's not very aggressive with meds either. He's nice but he gives off a vibe like someone putting on a show.

If you have additional complications he's going to want to resolve those himself. He wanted to do all my surgeries even though I had a local doctor who could. I don't understand why. He's a bit hypocritical - says his surgery helped me with my endometriosis, and sure enough, I got pregnant after. But then when I say it's a concern for the next time I try he says it had nothing to do with it.

Started out slow, oral meds, then moved onto injections. Bases things on response as far as i know. You don't really talk to him but one time for your consult or if there's problems after many tries.

IUI without insurance is $1800 plus meds. IVF is between $12-15k

He is mostly against multiple.

Dr. Ripps is extremely patient, kind and trustworthy. He has a lot of experience and doesn’t waste time. We felt he was very thorough in testing and this helped us to avoid wasting our time and money on treatments that weren’t going to yield success. He was very encouraging from the start and very welcoming. He explained everything so we could easily understand what lied ahead in our treatment protocol.

Ask questions and listen to the information/instructions provided! He will be there with you every step of the way, but expects you to read and learn from the pamphlets and packets of information provided. Being prepared helps your appointments to be more efficient.

We had the option to do a stimulation approach to encourage a higher number of eggs due to lower ovarian reserve, but we chose to do a normal approach to avoid having too many leftover embryos. This worked out perfectly for us. We had exactly what we needed to achieve pregnancy. We used menopur, gonal f, and cetrotide.

When we were educated on the process, it was made clear that a singleton pregnancy is safer and transfer of 1 quality embryo was the goal. We ended up with only 2 embryos at day 5, and 1 was ahead of the other in terms of growth. It was encouraged that we consider transferring both for the best chance of achieving pregnancy. It was explained that both weren’t expected to implant, but we understood the possibility. We had a singleton pregnancy. It seems they typically encourage single embryo transfers, but it is absolutely a case by case basis; we really appreciated this!

Dr Ripps was extremely knowledgeable, professional and compassionate. He gave information in a straight forward and honest manner. We never felt rushed or pressured through the process and are so thankful for his expertise and assistance in helping us grow our family!

Ask questions and rest assured that you can be confident Dr Ripps will do his best to help you!

We used menopur and gonal for our cycle. Dosages were adjusted based on response. We had 7-8 follicles looking like they’d give us eggs. 5 were retrieved and all were mature. By transfer day, we had 2 left.

Barry is a good listener. Anytime I had a question he answered it fully to the best of his ability. He was patient and took his time when we met. He got the ball rolling and did not dilly dally around.

Font be afraid to ask questions. Barry will more than happy to answer.

Dr Berry ordered and checked my husbands seamen analysis. He ordered a repeat after low count, low motility and low morphology were detected. He ran bloodwork on me. -Bloodwork came back that I had low Vitamin D and high prolactin levels. I was told to up my Vitamin D to 800mg and was put on Bromocriptine 2.5mg 1/2 a pill every night. - Ran bloodwork again after a month and they upped my Vitamin D to 5000mg. -My prolactin levels are currently where they should be, however I am still on the bromocryptine. I was put on Letrozole for a cycle. During which I had a transvaginal ultrasound done to check lining of my uterus, egg size, and egg quantity during the beginning of my cycle and then again during the middle of my cycle. - Everything came back normal He performed a hysteroscopy -Came back that I did not have any fibroids or cysts. I had a HSG Dye test done -Showing that both my tubes were open. I had a laproscopy done. -(Burned off a tiny spot that could or could not have been endometriosis) My husbands sperm count came back again with low count, low motility, and low morphology. My husband had his hormones tested (TSH, LH, Prolactin, Testosterone) -Was in the normal range. Husband had a scrotal ultrasound performed -Showing good blood flow and no obstructions Husband had Genetic testing done -Came back normal My husband was then referred to an urologist.

Full blood workup with ultrasound was around $700 Untrasound and blood test was about $200 Consultations were around $230 Seamen analysis was $85 IUI quote was $1800

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My husband and I both attended the appointment to decide the course of treatment. Although ivf was an option it was not presented as the only option. I did not feel he was pushy at all. He is very factual, candid and to the point. He also was able to joke around and laugh with us. I was happy with the treatment plan.

I feel like he will give you the best options and if that is ivf, then he would direct you to that immediately.

I did IUIs first with femara. Protocol for first egg retrieval was 75mg gonal-f. I did not respond that cycle for egg retrieval and did timed intercourse which was unsuccessful. For second egg retrieval, we used gonal-f, Menopur and one other I can't recall. Egg retrieval was successful with 18 eggs retrieved that produced 2 embryos.

My insurance paid for diagnostic testing: hsg, genetic testing, saline us. All costs of the cycles were my responsibility. IUIs were $1200 I think. Egg retrieval was $8700 for all monitoring and procedures. Each transfer will be $2700.

They only transfer one embryo based on age. I am ok with this as I do not desire multiples.

Dr.Ripps broke down everything detail by detail and gave us all options to choose from. We never felt we were pressured into doing one treatment or the other. Some fertility clinics will push IVF immediately just because it makes them the most money, however, not this clinic. Dr.Ripps and his staff are truly in this business because of their compassion and fight to give hope to the ones battling infertility. It is very evident to see this during each visit.

Don't worry or be anxious, they will ease your worries and stay by your side through every step and every question you may have along the way.

We are in the middlemof choosing the best treatment for us. We are candidates for all treatments, IUI and IVF. At this time we are praying to see what will be the best choice for us. We are looking at our financial approach to it all as well. Praying and seeking the best journey for us. We have had 7 mo the of Clomid cycles in the past (before ever knowing dr.ripps) under the care of my gyn and husband urology. He took Clomid as well. Turns out, after meeting with Dr.Ripps I never needed the Clomid, gyn only prescribed it because we were desperate. Dr.Ripps says I have plenty of eggs to work with without any fertility meds. We are facing low motility count on S.A.. that's the only factor we face at this time. Total sperm count is good. Just the motility a little slow. So, we have not technically tried fertility meds, etc under our fertility doc Dr.Ripps.

We have paid for ultrasounds and labwork so far, most of this preliminary has been covered mostly by Insurance. Not sure on specifics, but all copays and costs have been about $600 Total. This does not include IUI or IVF, we have not yet decided which one we will choose.

Dr. Ripps is confident and knowledgeable though can sometimes seem dismissive, but he isn't! "Dry" is a good way of describing him, and that's fine, but he clearly cares and we never felt rushed or not cared for. Our first cycle failed due to poor fertilization. I found that you just have to keep asking Dr. Ripps questions, come prepared and advocate for yourself. He is hesitant to try new techniques, test etc. I would say he's conservative in his approach which can work great for some people.

Be prepared with questions because Dr. Ripps likes to get straight to the point without using much filler. I needed answers and explanations for everything (whether it was a why or a why not) but he isn't much for entertaining those and he's pretty blunt. That's ok, just be prepared! You also meet with Head Nurse Linda who is all about the details and can fill that void if you need it.

We are dealing with severe male factory infertility. My husband was put on clomid (3 different doctors agree), we added supplements and continued to eat well as we already do. Between two doctors, all his panels were run and show no known genetic issues (though male factor science is lacking), and other tests are good too. For me, I was a super straight forward very easy case for egg retrieval. I stemmed for 7 days and they retrieved 12 eggs (10 mature) which is a great number! In the end, we had zero blasts due to poor fertilization. We used TESA retrieved sperm for our second IVF cycle. 15 eggs were retrieved and we ended with 2 blasts. Neither resulted in a pregnancy. We are moving on to known donor sperm IUIs with another clinic.

Appointments are not covered by insurance in Florida. Each visit is a little over $100. Semen analysis are around $70. Our first IVF round which included ICSI, a frozen semen sample and freezing for left over embryos (might be forgetting something) was $10,500. Medications were around $3000.00 or so. We didn't do a transfer or have embryos to freeze so we were refunded close to $1000.00. Our second IVF was a little less though (med prices were also a little less) we had two transfers which total around $3000.00 each with meds and such. Though these prices always change a bit.

Dr. Ripps discourages transferring more than one embryo in most circumstances.

Dr. Ripps did a great job explaining the process to us, and what he felt our best options were for a successful pregnancy. We appreciated his candidness and willingness to listen to our hesitations and concerns. For a doctor, he was quick to listen and given the difficult circumstances that infertility provides, knowing that our doctor would listen to our concerns was important.

He does have an unexpected, quirky sense of humor- which is appreciated (by us, anyway!) once understood!

As we were dealing with Male Factor, the protocol combined two injections for egg growth and one injection to help even out follicle growth. We underwent egg retrieval and a fresh five day transfer. We were not successful this time, but have already received our protocol for our second cycle. We will be increasing some of the injections to hopefully increase egg supply, and undergoing the TESE procedure for sperm retrieval.

IVF cycle- $8,500. This did not include the ordered medications. All initial appointments and procedures were not included in this, and were usually a minimum of $85 and went up depending on what tests were being done or what procedures were done.

We only had one to transfer, but for our specific case, and given our ages (both in our 20s) he did not want us to consider anything other than a single embryo transfer, as it simply carries fewer complications in pregnancy.

He gave very concise and important information. He took the time to explain tests, drugs,and procedures with me. He was always willing to listen to concerns my husband or I had. He was very sympathic to my personal fertility struggle and very attentive to my mental and physical well being.

To ask questions and listen to the advice he gives you on your own health.

We only tried IUI and hormone injection therapy because he felt I would get pregnant pretty quickly as he could find no imbalances or blockages that could be causing my infertility making him feel that I just needed to increase my chances by taking hormones so I would produce more eggs and performing an IUI in case something was hindering the flow of the sperm through my cervix. But unfortunately it still never worked.

He gave clear and concise information. He was very through with the testing and diagnosis of what was the cause of my infertility even though no explaination could be found. He was answered all of my questions knowledgeably and listened and sympathized with any concerns I had.

To ask questions and voice any concerns you have.

We decided to try hormone therapy to increase my ovulation and IUI procedures. I wasn’t open to IVF at the time and he thought the IUI was the better choice in my case since we could find no reason for me not to be able to get pregnant. Unfortunately they did not work and after a year we had to quit because my mother became sick and my husband and I had to take care of her.

My insurance covered my meds and half the cost of the IUI procedure so I ended up paying $900 a month.

Dr Ripps is very evidence based in his practice. He explained everything ever step of the way. He uses graphs and power points and makes everything very easy to understand. He is also very thoughtful.

He likes to get into the details of every diagnosis and procedure, so if you are a less is more person let him know at the onset of appointment. I could see were some people may be in information overload after an appointment with him :-)

After going through all my test results with me, he was very honest and told me it was going to be very difficult for me to get pregnant with my own eggs. He said to get the most out of our treatments for the money we should go straight to IVF. We did a traditional cycle on maxed out doses of menopure and folostem, we did not get any viable eggs. We then went to an antigonist cycle where I got 5 eggs, 4 fertilized, 1 made it to day 5 that resulted in a chemical pregnancy. I then chose to move to donor eggs. I am currently 5 weeks pregnant.

They are extremely flexible!

He was a good bit cheaper than other clinics in my area

He was a very direct person but also compassionate. He talked differently to me then my husband based on our personalities. He made us feel so comfortable that even when we just recently moved we KNEW that we needed to go back to him and wouldn't trust anyone else to go through this process with.

Ask questions because he will answer everything. He will not hide anything from you. Very honest man.

We did an iui first because we hadn't gotten back the results of my husband's sperm sample. He had a sample that had to be sent off to see how badly his male infertility was. So we gave you a shot. But the day iui came he was very honest and said we would only have maybe a 5% chance of getting pregnant with it (they just got my husband's results that morning) but we still wanted to move forward. He was very honest that we needed to icsi route and even after the iui he said he would call and check on me which was very reassuring. When I obviously didn't get pregnant, he promised icsi was our goto to have a baby. And he was right! He was just so kinda and reassuring the whole time.

We had really good insurance this first time. We just had to put the $2000 for the surgery and we actually glended up getting $1500 back. But this time with this new insurance we have, we only have coverage for testing. Nothing else is covered.

Our insurance had fertility coverage with my husband's old company and it only covered 1 embryo, so no topic ever came up to have 2 transferred.

Dr Ripps has been a great doctor throughout our 5 years under his care. Although we did not get all perfect outcomes, we have a beautiful baby because of him. We were always well informed about the process and were given all the information needed. When we were concerned about anything, he would schedule appointments with us to discuss treatment plans, etc.

Ask questions if you have them and advocate for yourself as well. Many people going though fertility treatments know their bodies. Speak up if you have concerns or questions.

Not covered by insurance

We were unable to do a multiple embryo transfer given my age and, at the time, no history of miscarriage.

Dr Ripps came across very knowledgeable and kind. He was thorough in explaining what he saw in my test cycle, and he seemed confident but not arrogant. I did communicate more with the nurses regarding my care which was different than I expected, but Dr Ripps spoke with us each time we changed to a different method of treatment.

Trust the process and don't be afraid to ask for clarification until you feel comfortable with the plan of action.

We tried femara plus trigger shot without success. Moved to femara, trigger shot and IUI without success. Then injections (follistem) trigger shot and IUI without success. Then we decided on IVF and were successful on our first transfer.

Dr Ripps strongly preferred one embryo transfer and explained the reasoning very thoroughly.

He was very evidence based driven. I appreciate the emphasis on the science. He was very good at explaining the procedures to us. He was very thorough and answered questions well. The appointments were quick. I was always very pleased with my interactions.

Be prepared for a very science and evidence based practitioner.

We used only letrizole during IUI cycles to prepare as our oral drug. We used Gonal F injectable you help the follicles grow. The results were good and as expected. I had to use more than most people because my egg reserve is low.

Approximately 10,000.00 for an ivf cycle with egg retrieval. This is not including medicine.

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Dr. Ripps is knowledgeable and caring. He is patient and explains everything to you in as much detail as you desire. He’s a skilled surgeon and I had the easiest recovery from my laparoscopic surgery that he performed than all of the prior three abdominal surgeries.

Trust him and share all of your questions and concerns.

He orders blood work for me and a semen analysis for my husband. Both cans back with good results, so he recommended using ovulation meds to get me ovulating on my left side (I only have on tube) each month, but I elected to have him perform a laparoscopic surgery to break up adhesions from prior surgeries. Once the surgery was complete, we completed one medicated ovulation cycle and got pregnant!

Coats for bloodwork, HSG, ultrasounds, a laparoscopic procedure and office visits but I don’t know the total cost.