Christopher Lipari

Dr. Lipari had an excellent treatment plan on the first day I met with him. He had read my history, knew that my uterus was unicornuate with a non-communicating uterine horn on the left side, and he welcomed the fertility challenges that I would face. He was excited and encouraged that my torsed (and what I was informed was a “dead”) right ovary would likely begin to grow eggs again. He clearly explained that the only thing needed for eggs to to regrow is the presence of the tiniest layer of live ovarian tissue; mentioning to me that he had personally witnessed eggs grow successfully from a piece of ovarian tissue that was placed inside of a forearm! He had no doubt in his mind that my right ovary would heal and that I would have great success, and he was absolutely correct. I was alone at the appointment that day, but that was the furthest from alone I had ever felt due to the tender words and impressive expertise demonstrated by Dr. Lipari. I could not wait for my husband to finally meet our new doctor, and my husband felt the exact same way. My left ovary is completely healthy, but there is no communication between that ovary and my uterus. My right ovary is the only one that has direct communication to my uterus and it had been presumed necrotic and “dead” after my last reproductive endocrinologist performed surgery and untwisted my torsed ovary in January of 2020. It had been two and a half years since my right ovary was severely injured, and Dr. Lipari’s clinic was able to successfully retrieve one mature egg from that injured ovary on our first retrieval. I have had three retrievals at the JCRM. During the first retrieval cycle, we gained 2 embryos, but Dr.Lipari noticed that my eggs matured very slowly so he increased the IVF medication dosage during the second round. He explained to us that beginning with 2 embryos is great, but he agreed with us when we decided that we wanted to try again and freeze more embryos just case something goes wrong in the future. Our desire is to have more than one child. When our second retrieval yielded no embryos, he was still encouraged and immediately suggested that we attempt a Luteal Start cycle, which would take more time, but would allow the bundle of smaller, less mature eggs that were lagging during my cycle to grow together and have chance to reach maturity for retrieval. He explained any and everything that might have caused no embryos to form even though all of my eggs fertilized the second time around, but he never made us feel hopeless or as if we had made mistakes along the way. He was certain that a Luteal cycle would yield more mature eggs and be successful for my situation. He kept me on my increased doses of IVF medication, and on our third retrieval we froze 3 more embryos for a total of 5 healthy embryos! Dr. Lipari has always cared deeply for us, and from the very beginning he never wasted our time performing or suggesting unnecessary procedures just because they were routine for IVF patients. He didn’t put me on Clomid first just to “see how my ovaries would react” during the actual IVF process, which is what one of my previous doctors wanted to do. There was never a time when I felt rushed or forced to do any procedure I did not want to do. He explained the significance, benefits, and risks of receiving an HSG and a hysteroscopy, two procedures usually performed before an IVF cycle, but he did not force me get a hysteroscopy if I did not think it was necessary. Due to my medical history, I did not believe the painful procedure was warranted and he was completely in board with my decision. Having personal autonomy is one of the most important things a patient can receive from a doctor, and Dr. Lipari provided that for me and so much more. He gives me confidence that we can do anything and that he will always be here to guide us through our good times and our hardships. Although Dr. Lipari is my doctor and treated me throughout all three cycles, he was unable to perform any of my retrievals. This is the reality of IVF, unfortunately. Due to my retrievals being delayed because of egg growth, the timing of the cycle calendar, and his surgery schedule, I would usually miss my opportunity for Dr. Lipari to personally perform my retrieval on retrieval day. He would see me the day before the procedure, perform my last ultrasound, confirm my progress, and would never hide his excitement for me, but the timing of my retrievals never lined up with his schedule. Dr. Fox is the other doctor that works with Dr. Lipari and was the one who performed all three retrievals on the last day. In a clinic, doctors work together to get the job done. Even though it was out of our hands, and Dr. Fox was not our first choice, he was still a highly-skilled, senior doctor at the facility who was not new to the task and was wonderful at his job. The fact that he could not be there on the last day does not diminish any of my experiences with Dr. Lipari as my doctor. He is the one who oversees my care and success throughout each of my cycles. He is the one who guides me through the hard times and pain. He is always there to adjust my treatment plan and dissuade me of any worries I may have along the way. Dr. Lipari has changed my life for the better, so I am willing to compromise. He guarantees that he will be the one transferring my embryos because that process is completely scheduled with less time constraints, so he and I are looking forward to that day when he transfers my embryos and helps my husband and me build our large family.

Listen to him intently. Any nervousness or uncertainty you felt before meeting him face to face will disappear as soon as he walks into the room and introduces himself. Be prepared to be cared for. Dr. Lipari wants to spend as much time with you as possible, so ask him questions that are simple, difficult, and embarrassing because he enjoys answering them all. He is only happy when his patients are happy.

Dr. Lipari began my treatment with the suppression medication Norethindrone 5mg once a day to prevent ovulation until my baseline ultrasound. After my ultrasound confirmed I was ready to begin IVF medications, I began taking my agonist medication. The agonist used was Menopur 75 International Units (IU), along with Gonal-f 225 International Units (IU). I continued my treatment for approximately 10 days until he confirmed I was ready to begin taking my antagonist medication. The antagonist medication used was Cetrotide 0.2mg. Dr.Lipari made sure to confirm and anticipate my egg progression with each ultrasound, and explained the reasons why he decided to delay the antagonist injections or delay my retrieval day. He wanted to be able to retrieve as many mature eggs as possible. He also explained delicate balance of pushing the trigger day forward to gain a few more mature eggs and risks of waiting too long to stop the medications, causing the mature eggs to deteriorate. He was very skilled at manipulating that balance and weighing the risks versus benefits of my treatment. During the first retrieval, we gained 2 embryos, but Dr.Lipari noticed that my eggs matured much slower than anticipated, so he increased the agonist Menopur dosage from 75 IU to 150IU during the second round. When our second retrieval yielded no embryos, he was still encouraged and immediately changed the plan and suggested that we attempt a Luteal Start cycle, which would take more time, but would allow the bundle of smaller, less mature eggs that were lagging during my cycle to grow together and have chance to reach maturity for retrieval. He explained any and everything that might have caused no embryos to form even though all of my eggs fertilized during the second cycle, including the possibility of sperm quality due to the fertilized eggs reaching day three but beginning to deteriorate afterwards. He was certain that a Luteal Start cycle would yield more mature eggs and be successful for my situation. He kept me on my increased dose of agonist medication. He pushed my retrieval day forward again by about two days. He even had me take a “booster dose” of Gonal-f 150IU on the morning of my trigger day to nurture and encourage egg growth. On our third egg retrieval, we gained and froze 3 more embryos for a total of 5 healthy embryos!

The costs for me were minimal due to my fertility insurance kicking in at the right time. The clinic was happy to inform me the Progyny insurance was new, but that everyone at the clinic is being trained on how to process it. The normal cost was over $25,000 for each retrieval cycle to freeze embryos. We paid about $6,000 for each cycle.

Dr. Lipari has mentioned his position on transferring multiple embryos, and he does not seem adverse to doing so depending on the patient’s age and age of the embryos. Dr. Lipari definitely explained to me the major risks to the mother and babies when it comes to multiple births due to a multiple embryo transfer. He made it clear that the protocol is the same nationwide when it comes multiple transfers and transfers in women over 50: it is widely discouraged. The age of the embryos and the age and health of the patient is the most important as far as Dr. Lipari is concerned, and I believe that Dr. Lipari would do a multiple embryo transfer if he were permitted to do so.

Dr Lipari is very compassionate but not unrealistic. He would let us know if we needed a different treatment based on blood work and tests. He never moved forward with a treatment without asking us first which I really appreciated. We felt very safe with trusting him in this very delicate journey. We felt like he heard us and finally we were able to get some answers to issues we had been wondering about.

Because they are a very busy team, don’t set your expectations to think you’re going to see your specific Dr every single time. A lot of appointments were done via TeleHealth and they’re not always going to be with your specific Dr. But that never bothered us.

At the start of this journey our protocol looked different. A different treatment plan was discussed at first in moving forward. After all the testing both my husband and I went through it was then recommended we go a different route. Dr Lipari initially thought we’d only need ovulation therapy but again after testing and blood work results came back, he concluded IVF would be our best route. He didn’t want us spending even more money on different treatments that might not give us the results we want and instead go for the big treatment. He didn’t want us wasting time if he knew those other options weren’t going to result in a successful outcome. Again, something we really appreciated.

Medication costs is separate from any actual procedure. Not all, if any insurance companies cover fertility treatments so be prepared to spend a lot of money. Sadly, the cost we had been quoted in December had doubled since the new year and we weren’t made aware of that fact until the day before our full amount was due. That caused some extreme stress on us both mentally and financially. So we ended up having to pay double then the amount we had been previously quoted.

Dr. Lipari took the time to walk me through everything and was caring throughout my cycle. I appreciated the care and concern everyone at the clinic treated me with. While, I was disappointed in my failed cycle, I'm convinced that they can and will do all they can to help me become a mother.

Be truthful and honest in what you want.

We did diagnostic testing which included several ultrasounds, like an hysteroscopy and mapping out where my fibroids were. The injections included Menopur, Follistim, Ganirellx, and the trigger shot. In addition, estrogen vaginally. All.in preparation of the egg retrieval. The estrogen helped my follicles grow because they were growing slowly. My cycle failed and the options were discussed. I could do another cycle or have surgery to remove the fibroids and any endometriosis. Due to financial difficulties, I choose to do surgery to remove the fibroids and endometriosis so that when I can afford to do another cycle, my uterus is optimal. My surgery successfully resulted in 16 fibroids removed and endometriosis from the bladder, uterine lining, and right fallopian tube.

I paid for the cycle, meds, and a co-pay for ultrasound. The cycle was about $9000. The transfer cycle was another fee.

The preference was a single embryo transfer and I agreed.

I am so grateful to have found Dr. Lipari, I have had 2 surgeries with him now and I absolutely love working with him. He knows everything there is to know about treating endometriosis and all of the other reproductive issues I was dealing with. He's always been very patient and relatable and willing to help any way possible to get me where I wanted to be. Highly highly recommend him and couldn't be happier with my experience and treatment plan from him.

Write down any questions you have prior to meeting with him or the nurses. Keep calling if you don't get through to who you need to speak with, staff is not the most attentive and probably won't get back to you in a timely manner.

I had excision surgery for endometriosis, during surgery, he unblocked my tubes, fixed the septum in my uterus (heat shaped uterus), and removed a few cysts. After surgery, during recover I was given Provera to induce my period (which were typically very irregular) and ever since then, about a year and a half later I am still having a regular period. My husband and I were very excited to start trying for our first baby once I was fully recovered.. we did 2 rounds of Letrozole with timed intercourse and hcg injection, with no luck unfortunately.. but after continued pelvic pain post-op we decided to put that on hold. I was then diagnosed with 2 hernias and just had my second surgery with Dr. Lipari to get them fixed and to make sure nothing else was going on in there to cause me any more discomfort. Both surgeries went great, and recovery was a little difficult, but we'll worth it.

Everything was covered through our insurance, I think the most we had to pay was about $50 per cycle of Letrozole and of course travel as we lived 2 hours from the clinic.

Dr. Lipari has a warm and calm demeanor. He was very knowledgeable about endometriosis, which is one of the reasons we chose to see him. Knowing this was to be our last try at IVF (after three failed cycles at another clinic) he offered a good balance of hope and realism. I felt like we were in good hands.

We asked him if there was anything we could do differently after he reviewed our previous cycles from our first clinic. He came up with several ideas, including priming with human growth hormone for several months to improve my egg quality. Though this extended the treatment time, I feel it may have been the factor that made the difference for us. So don't be afraid to ask for out of the box thinking.

We primed with HGH (Omnitrope for about two months) prior to retrieval to help with egg quality. The stimulation protocol was a low dose of Follistim and Menopur (75iu of each except for day 1 which was 150iu follistim.) The goal was egg quality over quantity and since I had responded pretty well in my previous cycles at another clinic, Dr. Lipari felt confident that low dose was the way to go. This resulted in 9 eggs, 8 that fertilized, 2 day 5 blastocysts and 2 day 6 blastocysts. We did a day 5 transfer of the two day 5 embryos, which resulted in a twin pregnancy, but sadly I miscarried at 9 weeks. Several months later we prepped for an FET of our two remaining day 6 embryos. I took birth control, then Lupron, adding in estrogen and progesterone in oil injections. Amazingly, both embryos implanted and we were blessed with twin girls after a four year struggle to conceive! Details that I feel contributed to our success - -Priming with HGH for egg quality. -Biopsy for endometritis before transfer. I did have it and did a round of antibiotics. -Adding in Lupron before transfer to suppress my cycle. -Continuing our progesterone injections through week 11 of pregnancy. Longer than necessary but just to be safe.

I don't remember the exact number, but our IVF cycle (retrieval and fresh transfer) was about $9000. Not including medications. I believe our frozen transfer was an additional $2800.

Since this was the last IVF cycle that my husband and I were going to do, and given my age (40) and my previous failed cycles and many abnormal PGS results, we wanted to transfer two of our untested embryos. Dr. Lipari was supportive of this.

I felt like I was more than a number at JCRM. Dr. Lipari took his time to help answer my questions and ease my worries. I was one very anxious patient. He has a lot of knowledge and experience and it shows.

Come to your appointment prepared with your questions and research so you don't leave the meeting thinking "Oh, I forgot to ask this or that."

I was on a medication for 2 IVF retrievals. I feel like the medicine and timing of everything was standard, nothing special or out of the ordinary. I had 19 mature eggs from my first retrieval, 15 fertilized with ICSI. Only 4 made it to blastocyst stage. I was devastated by how much the numbers dropped. I froze all and had pgs testing done (decided upon before cycle started) which showed 3 healthy embryos - all girls. I really wanted at least one boy so I could give my son (currently 4 1/2) a brother one day. I decided to do another retrieval the next possible cycle and this time and only 9 mature eggs were retrieved. 8 fertilized and 3 made it to blastocyst stage. PGS testing revealed I had 2 healthy boy embryos. I couldn't believe my luck. Both unhealthy embryos were girls. I asked about the use of HGH to improve egg quality and ERA, but neither were recommended for me by the Dr. or nursing staff.

Consultation and Ultrasounds - $10 copay each visit with insurance. IVF meds - $4,000 (x2 retrievals) Insurance didn't cover any IVF procedure or medicine. IVF meds for transfer - $1,000 Hysteroscopy - $10 (covered with insurance) IVF retrieval procedure - $8,500 (×2) PGS testing - $2,500 (x2) Frozen Transfer- $1,700 (thank goodness 1 successful transfer so far).

My doctor never really mentioned using more than one embryo at a time. I think we were already on the same page as a given that we would transfer one healthy pgs tested embryo.

Dr. Lipari is very compassionate and I can trust that he truly cares about me as a patient. He is dedicated to my care and has called me afterhours to answer questions as well as being available to perform transfers/retrievals even if it wasn't his "day" to do so. He never makes me feel rushed during appointments and makes sure to fully explain everything and answer all questions. He has made this very difficult and taxing journey easier to navigate through.

don't be afraid to ask any question you think of, he will never make you feel like it isn't valid or rush you through the appointment

We have done 3 retrievals using an antagonist protocol with follistim, menopur, and ganirelix injections. Due to risk of OHSS we were not able to do the HCG trigger shot or fresh transfer and instead used Lupron trigger. We ended up with a total of 7 PGS tested/chromosomally normal embryos. Unfortunately our 4 frozen embryo transfers have been unsuccessful. We will be starting another retrieval cycle soon with the addition of human growth hormone to hopefully produce more chromosomally normal embryos.

Dr. Lipari strongly suggests single embryo transfers, especially with PGS tested embryos. After 2 failed single embryo transfers and a normal ERA result, we really wanted to transfer 2 embryos. After discussing possible outcomes/risks, he agreed to do this for us

Doctor Lipari took the time to answer all my questions and trust me i had a lot of them, gave me a diagnosis and he explained to me the options i have and explained the treatment, pros and cons for each one. I have seen other doctors before and I didn’t feel comfortable with them but doctor Lipari really knows what he is doing which gave me the confidence to continue my treatment.

Write down all your questions before your appointment and when you see Doctor Lipari trust me he will answer all of them.

I did 4 rounds of medication with timed intercourse, we were very close to achieve the objective but since i have unexplained infertility was unsuccessful. Every cycle was different and we did more or less menopur injections depending of how my body was reacting to it.

I don’t have an exact amount since insurance took care of the bill, but they will give you prices on your first appointment.

Dr lipari is extremely thorough and compassionate. He gives you all the info you need, in a caring and comforting way. He goes above and beyond. Dr lipari did my endometriosis surgery with a few days notice because my insurance was running out. He made time for me and worked me in at a hospital he wasnt scheduled for that day. He cared that much about me being able to have this procedure to increase my fertility. I have never had a bad experience with him, nor have I ever left his appointments feeling any doubt. He inspires me to keep going on this journey with his positive outlook.

Be patient. A lot of testing and labs and appointments go into fertility treatment and they are all an important piece in helping Dr lipari figure out how to help you

I had several iuis and have done birth control for at least 2 weeks, removal of birth control, began letrozole, 10 tabs at once, followed by ultrasound a few days later and menopur 150 for usually 3-5 days with scans in between. 10,000 units of pregnyl in the evening 36 hours prior to iui. Progesterone started day after iui.

I was always given a choice of times as they tried to work around my work schedule which I appreviated so much!

Each iui cost me 3000. 1000 for the procedure which includes kabs and scans, 1000 for donor sperm and about 1000 for meds. 7000 for ivf although a portion was refunded to me as the transfer did not take place.

I have not reached transfer stage as my embryos did not reach day 5 when I pursued ivf but I do believe my doctor allows for transferring 2 embryos based on age and other factors. I agree with this

Dr. Lipari is well-informed and thorough. He stays up to date on all the latest research, information and protocols. He is thorough and answers all questions to provide clarity and peace of mind. He is warm, caring, relatable and empathetic.

Come to appointments prepared with your list of questions in order to make sure you get them all addressed. Make sure to cover the pros and cons of potential medications and treatments.

So far I have had a lot of diagnostic procedures, labs, and ultrasounds in addition to one cycle with Clomid. I had a laparoscopic surgery for removal of stage 2 endometriosis and dietary and nutrition recommendations in order to better manage reactive hypoglycemia and PCOS with ketogenic diet. We have discussed the pros and cons of taking Metformin. We are gearing up for another timed cycle and exploring options for additional treatments such as egg retrieval and IVF.

Not yet applicable in my treatment protocol

Dr Lipari has wonderful bedside manner. He is compassionate and no matter how many questions I ask, ALWAYS takes the time to make sure they are answered, thoroughly at that. I always feel like we have discussions, rather than having him talk "to" us and I feel like we work together to make a game plan. I always feel comfortable asking about different/stronger meds and any protocol changes I feel should be made. Even if he does not agree with my suggestions, he explains why and I usually understand. I trust him, but I do wish we could be more aggressive at times.

ASK QUESTIONS and be your own advocate. If you don't ask, the answer will always be no. But if you do ask, the worst he can say is no. It never hurts to ask! Be patient. Dr Lipari is usually running behind, but I feel it is only because he gives each patient the time he/she needs to feel fulfilled during their appointments. I have no left an appointment feeling like my questions were not answered, and I believe it is because he really takes the time to sit and have discussions

We started with letrozole/trigger/IUI. I conceived my son after 2 IUIs in 2016 using same protocol. This time, my first IUI was unsuccessful and my second IUI was cancelled, due to the fact that I ovulated prematurely. We moved onto IVF after that. Stims included menopur, follitism, Ganirelix and HCG trigger. Retrieval yielded 6 mature eggs, 5 of which fertilized. On day 5, I only had one very early blast, which we transferred fresh. Negative results. We decided thereafter that next steps would include laparoscopy for endometriosis. During my surgery, I was DX with stage 2-3 endo, which he excised, along with adhesions and cysts. We will begin IVF#2 in a couple of months.

Monitoring is always in the morning, I believe from 8-9ish? This always worked out well for me and I personally like to get it out of the way in the mornings.

I was lucky enough to have insurance coverage for workups, IUI and my first round of IVF (paid for IVF meds out of pocket). Going forward, I will have to pay out of pocket for all expenses.

The care and attention I’ve received from Dr. Lipari has been life changing. He made me feel comfortable, but most of all he made sure I understood absolutely everything he went over and gave me real hope. He sets the bar high and showed me what to expect from all doctors. I can honestly say that I feel more confident in my ability to have a baby since transferring to Dr. Lipari.

Don’t hesitate, go now. If you’ve been to another doctor and had your dreams crushed or were unsuccessful in your attempts to have a baby, I’m sure Dr. Lipari can get you over that hump and make your dreams come true.

Dr. Lipari is adamant about ensuring his patients are healthy and able to go through the process before beginning any treatment plans. At our first visit, Dr. Lipari took notes on all of my family history and past attempts. From there, he had my tubes checked to ensure they were open, did a biopsy to check for any issues, an ultrasound to check the follicles, and discussed the various medications used to assist with the process. During the ultrasound he discovered several fibroids (one rather large one that has expanded my uterus to the typical size of a woman nearing the second trimester). We then discussed the surgical options. He listened to our concerns and provided his insight on which type of surgery he thought was best. We now have an upcoming appointment scheduled for the surgery. Hopefully all goes well so we can continue our baby journey!

The price I remember most is that if the surgery at $4200. Based on pricing sheets provided to us an IUI cycle can run from $700+ and an IVF cycle from $12,500+.

Dr. Lipari's biggest strength is that he listens to his patients. In the beginning of my treatment, I always felt more hopeful after meeting with Dr. Lipari. Dr. Lipari is also very well read. He will tell you about recently published research papers. At the same time, Dr. Lipari did not order thorough testing on me. Several tests ordered were done at my request. After my second IVF cycle with Dr. Lipari, I no longer felt more hopeful after meeting with him. In fact, I began questioning his expertise with my condition. He also did not thoroughly explain risks associated with PGS testing - he only advised us against PGS testing after I questioned the use of it with my condition. Moreover, he described a protocol one way, but then it was done very differently. All in all, I think Dr. Lipari is a great "first stop." If it weren't for him, my endometriosis may not have been discovered. His empathy and excellent bedside manners helped me cope with news about my condition. At the same time, I do wish he did more thorough testing, did not synchronize his patients' cycles, and more accurately/thoroughly described procedures.

Do research and advocate for yourself. Also, decide if you're comfortable with batching (i.e., having your cycle synced with other patients' cycles).

We used the antagonist protocol for the first two IVF cycles. Both cycles used 225 Follistim and 75 Menopur. We triggered too late during my first IVF cycle (one of my eggs was "hard boiled") so we triggered earlier for my second IVF cycle. Because of my diminished ovarian reserve, we got three Day 5 embryos between both cycles.

Dr. Lepari is an excellent doctor with an excellent knowledge of not only infertility but endometriosis. He was the first doctor who has ever diagnosed me with endometriosis in over 23 years of constant complaining to PCP and my GYN about my constant pain, cramps, heavy bleeding with clots, etc. He is also one of the few doctors that do the endometriosis excision surgery in the country.

He is based in Jacksonville most of the time and only in Gainesville twice a month so book appointments in advance.

I was put on birth control, a high dose to stop my heavy bleeding that would last over 2 weeks. I have a diminished ovarian reserve due to endometriosis damage and Dr Lepari has planned that we skip mini stims and jump to mega stims injections so we can be more aggressive along with Femera. If that does not work we will have to do IVF. We are trying to save up for the treatment.

The appts were between $250-$450 for consults and treatment for mega stims and meds are approx $2,000

Does not apply

Dr. Lipari takes his time with his patients to ensure understanding. He gives you the best options at the time. His communication skills are exceptional and the time spent makes you feel special. When dealing with endometriosis and PCOS , he made sure to explain exactly what they are and how we would treat them. When it came time to have surgery for my endometriosis, he made me feel comfortable, which is hard to do considering I am an ICU nurse.

Be patient. Trust the process.

When we first went, the goal was to find out why we weren’t getting pregnant. He assumed I had PCOS given my symptoms. Blood work was done to confirm. He performed a hystoscopy to check to see if tubes were blocked and flush them out, to eliminate that being a factor. Then I was diagnosed with endometriosis, the plan was then to have surgery to scrap it out. We did our first IUI with letrazole, shots and a trigger shot. However I responded to the letrazole well and only had time for the trigger shot. My husband has had multiple SAs and each time they are different and we are not sure why. My husband has been placed on clomid to help increase his testosterone and other hormone levels. He is now only taking half a pill every other day. We are going to be scheduling another mega IUI and then it seems if that fails, the plan will Be IVF.

Each visit is around $200 to $300. Out IUI cycle included medication was about $1500-$2000. SA costs are around $300.

Not sure yet.

Dr. Lipari has compassion and communicate pretty well. He also has decent bed manner. However, he changed my medication protocol for second round of egg retrieval and it was a failure. I got 23 eggs from first round and only 4 from second round.

Be more active in the treatment process and trust yourself. If had any concern about his treatment plan, speak up.

He had me on 150 Gonal-f and 75 menopur with antagon protocol. After 9 days of stim, triggered with HCG. 4 eggs were retrieved, 3 matured and 2 fertilized. 1 made to day 5 blast and transferred fresh.

Brittany, the nurse who does all my monitoring, is very understanding about my schedule. She always tried to fit me into clinic schedule based on mine.

I had infertility coverage with my insurance. Since it was second round of ivf that year and I maxed out of pocket, I didn’t have to pay anything.

We decided to transfer two embryos and Dr. Lipari respected out decision. He did take good amount of time explaining the risk of having twins and minimum increase of pregnancy rate with transferring two embryos.

Dr. Lipari was great and remembering us patients. He knew what we wanted and what we were comfortable with doing. He was always friendly and welcoming. I never left an appointment with him feeling hopeless or upset.

Always voice your feelings. He does a great job listening.

With our medicated cycles, Dr. Lipari suggested starting every cycle with a short period of birth control. However, after voicing my worries, Dr. Lipari gave us the okay to do every future cycle without it. When using medication such as Letrozole, he prescribes it with 10 (2.5 mg) pills in one night. This is very different from what I've heard other women taking. However, his reasoning being that it shrinks the number of side effects caused by the medication was 100% accurate.

With military insurance, I have only had to pay copays for medication.

Was late to take our appointment multiple times. He didn’t have accurate knowledge of cost. He acted like we didn’t matter. I felt like we werent given specific communications about procedures for surgeries. We were then charged for a procedure after we were told all diagnostic testing was covered by insurance.

Read all reviews and get multiple options from other doctors.

All we did was diagnostic testing. He flooded my tubes to check for blue cling and we fitted the catheter for the egg transfer. We also did blood tests for hormone levels.

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Dr Lipari is kind and knowledgeable. Occasionally I feel that he can be indecisive about the direction of our treatment if there are multiple options. On one hand, it is refreshing because he allows you to guide your treatment based on your comfort level... however in times of frustration, I wanted him to allow his expertise to take control and decide for us.

Be open minded to their treatment plans.. i.e. diet and single embryo transfer approach. They have great success rates... unfortunately those rates haven’t been our experience.

JCRP is passionate about regulating sugar in PCOS patients and thus ask you to follow a relatively strict diet. They also approach IVF cycles with single embryos unless you request otherwise. We have tried absolutely everything. From medication and scheduled intercourse to full IVF cycles and everything in between. After 2 years we were successful on our first IVF cycle and gave birth to a baby boy. Since then, we have struggled immensley through miscarriage and negative pregnancy tests but never have we doubted the treatment approach.

Our situation isn’t typical because we’ve been seeking treatment for 6 years. We have received cheaper rates because we’ve had so many unsuccessful cycles. All in we’ve spent over $40K with everything. The IVF cycle we’re about to start costs about $1400 with drugs etc.

We recently did a cycle with 2 embryos after many unsuccessful single transfers in a row. The clinic does not recommend this due to complications with multiples, but will also share that the success rate does not increase enough to warrant doing so. They will however support you regardless of your choice.

We are in the middle of a frozen embryo transfer cycle (donor egg). He recommended doing an ERA because we had 2 failed transfers with other doctors. We found out we've been transferring 1 day too early! Our previous doctor claimed the ERA to be a bogus test and guessed maybe we now had a sperm issue.

Be honest with him and your concerns. He will be honest in return. Do not be afraid to take his time... he will sit with your for as long as you need.

He recommended an ERA after others didn't. We found out that a Day 5 transfer was too early. We've had 2 failed transfers before. We are currently in the middle of a frozen embryo cycle (donor egg). He also discovered I had a minor case of hypothyroidism, so he put me on Synthroid. My levels are now in normal range, which could help this cycle. None of my previous doctors mentioned this and my levels have always been in the high 2's. I was on Lupron and Estradiol. I am starting PIO tonight for 6 days before transfer and will continue that and Estradiol until told otherwise.

Dr. Lipari recommended the ERA and he let us know the clinical part of the test would be covered by insurance since it is diagnostic. Our previous doctor (same clinic) told us it would be completely out of pocket. We have spent over $70, 000 on treatments since 2013. This cycle with Dr. Lipari has by far been the cheapest at $2,000 since it is a frozen embryo transfer.

I haven't had this experience with him yet.

Dr. Lipari was very awesome, well spoken, and clear on what the plan was for ivf. He answered all questions and was very clear on everything. He showed compassion and was very understanding. My husband and I really liked him a lot.

Make sure when you schedule your appt ask for any nurse but Imelda.

I started one cycle of ivf but the injectables were not helping me produce any eggs but he switched me to a higher dosage and different type of injectable. It helped some but no pregnancy.

N/A

ivf medication $4900.00, ivf insemination $6800.00

Dr. Lipari explained the risks and he also told us he would not transfer more than 3 embryos due to the risks of carrying multiples.

Very compassionate and ethical, holding my health higher than other outcomes. For example, insisting on single embryo transfers because of the possibility that my cervix was compromised, which we found out later it was.

Insist on MTHFR screening if given RPL panel, not just homocysteine levels.

We used donor eggs from the very start, knowing from previous bloodwork and failed IVF cycle that donor eggs were my best chance of pregnancy. I followed a Lupron suppression protocol with birth-control pills to prepare for the transfers. Five out of six transfers implanted successfully. I Experienced four losses, the first three likely due to a clotting disorder, possibly related to MTHFR. The fourth being due to an incompetent cervix. Finally upon my six embryo transfer I had a live birth.

An embryo transfer cost roughly $1800, before being prorated for offsite cycle monitoring by around $900. Fresh IVF cycle was about $6000.

Recent research indicates that eSETs are almost successful as multiple embryo transfers. It is definitely the safest way to go. I fully support Dr. Lipari’s practice of eSATs.

Dr. Lipari is very friendly, personable, and compassionate. I can tell he really strives to do whats best for the patient and looks out for their health above all. For example our first cycle I had extreme OHSS and he wanted me to get well first before transferring my embryos to give us the best chance at our pregnancy. I'm so thankful he did that because the FET resulted in our son. :)

To ask for him. Tell him what you want and trust him. He is truly an amazing Doctor.

My husband did a sperm analysis and had zero at first. He put him on HCG shots for a year, injecting twice a week. They would check the sperm count every so often and they did go up but not enough to get pregnant on our own. I also don't have regular cycles. We did IVF but then I over stimulated to the meds after retrieving 32 eggs so we did a FET with 2 embryos and Bentley was born in 2014. :) We froze the other 6.In Jan 2017 we went back to try again. They transferred 2 embryos which resulted in a positive test but my levels were low. On March 21, 2017 I went for my first ultrasound to see an empty sac. I was devastated and my nurse held me and cried with me. Both cycles I took: prenatal vitamins, aspirin, metformin, Leuprolide, estradiol, Progesterone, Doxycycline, and Methylprednisolone

They had certain morning hours they did the monitoring. I absolutely LOVE my nurse Nicole so I looked forward to seeing her and didn't care what time my appointment had to be. She would have me in and out with all the information I needed.

IVF Cycle- 6,800 (we did one of those) FET Cycle-1,375 (we did two of those) Meds varied both times because we were on two different insurances each time. The first time we spent maybe $300 for meds and this year we spent around $600 on meds.

My doctor will transfer up to two embryos at a time. I am happy that they do that because we transferred two with my first cycle which we resulted in a singleton birth. They said transferring more than two can have more risks.

I am extremely confident in Dr Lipari's knowledge and experience. Although he tends to run behind in clinic, he took his time with my husband and me when we saw him. He was very honest, yet encouraging about my diagnosis.

Be prepared to spend a couple of hours at each visit. Also, my personal experience with the staff and nurses/MAs was a little frustrbeen on multiple occasions because I felt like there were several things not communbecause in advance, that should have been. There were also several times in which certain labs tests were not completed when they should have been. It was almost like there was a breakdown in communication between providers and nursing staff. In addition, be prepared to see a lot of different providers throughout your cycle.

I followed same protocol and used the same meds with both mini-stim cycles. Initially I took 10 days of birth control pills starting on Day 1 of my cycle. This was followed by Menopur injections on days ----- and-----. I had ultrasounds during the cycle and triggered with Pregnyl on day ----. The reason there were no changes in cycle therapy for second round is bc I responded well (with ovulation) during first round, but unfortunately did not conceive.

We paid about $11,000 (for surgery, cycle care and medications). My surgery and work up was covered by insurance, but my cycles and fertility treatment was not. My HRA and FHA helped with these costs.

N/A, as we have only completed 2 mini-stim cycles. We are saving for our next step (IVF)

He's the first Doctor I've ever met that didn't rush me out the door or forget to answer my questions or address my concerns. He is always very patient & kind. Not just with us but everytime I see him interacting with other patients, he is always very kind. He always gives my husband & I his undivided attention & throughly explains the plans and processes we have to go through. We've had several negative experiences with other staff members including another Doctor at this practice but Keep coming back because of him. He is an amazing Doctor & ive so glad we found him!

None. He is a great Doctor.

We've had several IUI's with other Doctors. We are going to start our first IVF cycle in the next few months. I've been put on many different medications but don't remember all of them by name/dosage etc. (I'm at lunch at work & don't have the information with me).

Insurance didn't cover any ivf meds or treatments. Our appts were covered and we have to pay copays.