Courtney Marsh

Dr. Marsh is compassionate and I feel she is smart. However, I don’t feel supported enough by her. I have only met her twice, but she is making all of my healthcare decisions regarding next steps in my fertility journey. I would think her weaknesses would include not communicating to her patient enough or getting to know someone and their situation. This should be apparent to any physician to get to know their patient.

I would definitely make sure that you are in charge of your healthcare and you are staying on top of what you need to do to become pregnant. I would write every question you have down and don’t feel like you are being rushed out of the room.

I was never told what the name of any of my protocols that she put me on. I was told that we would start out with Progesterone (for induction of my cycle) and Letrozole. I believe my first cycle was 2.5mg tablets and taking 2 a day from days 3-7. Then, I would do OPKS to assess ovulation. My husband and I would have intercourse once there was a positive OPK for 3 days straight. My 2nd cycle I was increased to 7.5mg for days 3-7. This dose increase I had to ask the office for. I did get pregnant on my 2nd cycle of this strategy and it resulted in miscarriage. I had a D&C. Then, I did 3 cycles of Progesterone, Letrozole, and Ovidrel (trigger shot). These 3 cycles ended in negative pregnancy tests. These 6 cycles I was never given a rationale as to why this strategy is being used over another. I was outlined the basics of Progesterone induces the cycle, Letrozole helps you ovulate, and the trigger shot gives you a 99% ovulation chance. At this point, I requested that I see Dr. Marsh to talk about my next step. I was told that my only chance of getting pregnant would be IVF. At this appointment, IUI was never discussed with me if I didn’t bring it up myself. Dr. Marsh said this could be an option, but would not be successful and we should go straight to IVF. We took a couple months off from treatment and I started hormones again. I was told that we would be doing Progesterone for induction of cycle, Letrozole and trigger shots. I did not have a rationale as to why we could not try any different medications. I had one cycle with Progesterone induction. I did not do hormones this cycle due to not having a heavy flow. So, the next month I did IUI. I did Letrozole 7.5mg days 3-7, Ovidrel for trigger shot, and follicular ultrasounds to track my follicles for the day of IUI. This resulted in a negative pregnancy test. I am currently in the middle of my cycle as I type this. I was told directions by Dr. Marsh to do Letrozole 7.5mg days 3-7, no trigger shot, and OPKS this cycle. I will await another pregnancy test later this month.

My insurance covered the diagnostic and lab tests. I did have to go to a different facility for a test that was out of network for my insurance and ended up having to pay for that. My IUI was not covered by insurance.

Dr. Marsh was friendly and answered all my questions throughout my first FET and during my initial meeting with her for the second FET. She was confident with the protocols for the second FET as they would be the same as the first FET that was successful. However, I had to ask to see her before my second FET. When my lining was not thick enough, she added an injection to help prepare my body. She explained this and was confident that it would help. I think the only other time where I will see her again is on the actual transfer day. It wasn’t this way for me when I went through my first two transfers years ago. I only worked with Dr. Marsh during my embryo transfers as the doctor I had been working with to get to that point moved on to a different job.

Do your research and ask a lot of questions. I read articles on IVF and participated in discussion boards. This is how I learned about the endometrial scratch that I asked for on my first FET after the ET didn’t implant. Since there are not enough studies that show it works, doctors cannot offer it. However, when I asked for it, they said they would gladly do it. I also had it done on my second FET. As the patient, you need to become knowledgeable about this process before you start it. There are many reputable websites and journal articles devoted to IVF and the special circumstances that different individuals have that cause them to seek out assistive reproductive technologies and a reproductive endocrinologist. Read everything you can. Choose more recent articles and look for updated websites as the world of assistive reproductive technology is ever-changing. Talk with individuals who have gone through the process. Visit with a counselor who specializes in fertility counseling. He or she can provide you with information about your options. The facts about your options will help guide you to a decision that is best for your family-building journey. Knowledge is the key.

For my ET and first FET, I took Estrace to prepare my lining for implantation and Endometrin to increase my Progesterone levels for three weeks before my transfer. About a week after my positive pregnancy test, my Progesterone level was dropping, so I had to start daily Progesterone injections until I was ten weeks. I gave birth to a healthy daughter. For my second FET, I took Estrace for three weeks and then started Delestrogen to help thicken my lining. Then I started Progesterone a week before my transfer. Injections of Progesterone and Delestrogen and Estrace tablets will continue for ten weeks after the FET if the embryo implants and I become pregnant. The Delestrogen injection is every three days. The Progesterone injection is every day once started. The Estrace is three tablets a day. I am in the process of this cycle.

For the second FET, it was $2, 875 in October 2023. The saline sonogram and blood tests before the cycle were separate from this price. They may vary based on the insurance coverage. Medications, tablets and injections, were about $200 for the first month after insurance covered part of it. To continue the tablets and injections through week 10, it will be approximately $300-$400 more.

The first time, I could choose one or two embryos to transfer. I only chose one for my ET and my FET. This time, they only transfer one. The clinic no longer gives the option of transferring two.

I see several reviews that patients were up set to communicate mostly with the nurses. I for one do not mind this at all. Maybe it comes from my healthcare background… but I know that the info I am getting from them is still from a doctor/my doctor. I have mostly communicated through the portal which I actually love, because I can go back and reread my instructions or advice if I forget, as well as I have access to all my medical records at all times. This is my 5th doctor for infertility and by far the doctor that has got us the farthest in our infertility journey. We just got to a point where I am ovulating on my open tube side and did our first iui yesterday. She had to adjust my meds each cycle to get me here and I am so very grateful. I only wish I had found her sooner. With each procedure her office has done I have been given specific easy to follow instructions. I always know the next steps and I feel like I have a say in my care. I trust her and every person in her office. With infertility certain procedures have to been timed with specific cycle days, with that being said, sometimes my tests are performed by the nurses or available doctor ( not always dr. Marsh ), again something I do not mind at all knowing they have just a few days notice to work me into a specialty clinic. All the doctors I have come into contact with have been just as great as Dr. Marsh. I also feel like she does not do unnecessary testing, she had explained in our initial visit what tests are important and what ones would be optional and let me decide from there. The costs were outlined the afternoon after my appointment, so I never got a surprise bill and have been able to also proceed on my timeline physically, mentally, and financially. I had emailed my 13 years of records to her office prior to my initial appointment and to my surprise she had already read them before seeing me and knew my history. I was so impressed with her going over my records and knowing where she could fill those gaps and get us going. Her personality was very nice and I felt she listened and like she cares. Would highly recommend her.

I had an endometrial biopsy, an SIS. I have had many labs. My husband has had a SA. We have done medicated cycles that include trigger shots and finally our first IUI.

Total cost up to this point is around $4,700 with this specific doctors office. Including labs, testing, scans, in office biopsy, and IUI. This cost is prior to any insurance coverage. I do not have infertility coverage, however some labs were still covered and office visits due to the codes they used.

I’ve seen several negative reviews related to her bedside manner. Which I don’t fully understand. I often wonder if it is because emotions are high during infertility treatments. I really appreciated her honesty- it is what we needed. She delivered her thoughts in direct but gentle manner.

Have a list of questions. You often blank when asked during appointments if you have any questions/concerns. I did not see Dr Marsh but a few times (appropriately so) when we did see her or talk to her on the phone she always had ample time for us. We never felt rushed. If there was something we forgot to ask it was quickly answered through the portal.

My insurance covered quite a bit of costs. I paid probably 8k out of pocket including medication s

Dr Marsh is up front with her one embryo transfer rule. We appreciated this as a single healthy baby was our goal. We agreed with her thoughts on risks of multiples.

Given that I went in for egg freezing at the age of 41, Dr. Marsh was realistic about my options. She arranged for diagnostic testing to first determine if I was a good candidate for freezing (I was). While this ultimately added to the cost of treatment, I appreciated that she didn't want to let me proceed without first knowing my hormones looked good and I had a good amount of follicles each cycle. To me, this shows Dr. Marsh has integrity vs. simply wants to shuffle people through the process.

Just like with any fertility doctor, I'd go in with specific questions about your options, treatment, etc. You are not likely to see Dr. Marsh much during your treatment, so being ready with questions your first appointment is helpful (though nurses also do answer/discuss with Dr. Marsh as needed during treatment).

I was given a fairly standard injection protocol for egg freezing: Menopur 150IU/Gonal F 350IU Day 1-7, followed by the same with the addition of Ganirelix 250mcg day 8-11 w/ trigger day 11. I just happened to be very responsive to the meds and produced a lot of eggs.

I believe the costs for all appointments, ultrasounds, bloodwork, and retrieval was around $6,500. This does not include medication consts.

Dr. Marsh is friendly and very knowledgeable. However, I felt like my care plan is not fully satisfying my needs, and that might be that I am not pregnant yet or I am not grasping the plan. We have been trying for 2 years next month, 8 failed medicated cycles, and yet when I ask questions I feel like I get the bare minimum answers. "try again next month, don't give up", "everything looks fine", but no additional labs or test are done to investigate why this is not working. I am might be jaded when it comes to this but I feel like I have to go above and beyond to advocate for myself.

Take her demeanor with a grain of salt, she can come off as being curt, but again I have very pleasant conversations with her, when I actually do speak to her.

We started with an HSG that showed a partial blocked right tube and a pre diagnosis of PCOS. Then was prescribed Letrozole 5mg starting CD 3 - CD 7 and did follicle ultrasounds on CD 10. Follicles did not respond and she upped the Letrozole to 7 mg, again follicle ultrasound on CD 10. The right follicles were the only side responding and not very well. Letrozole said the same, but added GONAL-F 50 mg injections on CD 7 - CD 10. The left side started to respond but my dominate follicles were on the right. We did this treatment for 6 months, and decided to take a break last May. In August 2019 we started again and in addition to the Letrozole and GONAL-F, Clomid (do not have the dosage but it was 3 tablets a night CD 3 - 7) was added. We had a great response with the Clomid and was able to do our first IUI in August, it failed. We did the same cycle plan in October, the Clomid and Letrozole responded better and I did not have to do the injections of the GONAL-F. We tried another IUI end of September and I am currently in the TWW to know if it was successful.

IUI - $600, Ultrasounds - Unknown Insurance covered, HSG - - Unknown Insurance covered, GONAL- F - $350, Clomid - $30 with insurance, Letrozole - $4

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I'm sure Dr. Marsh is a good clinician but her bedside manner is non-existent. I could tell immediately that this was not the right fit for us. From the start we needed to push for the answers to our questions and appropriate testing. Her unwillingness to run the tests we requested resulted in us having to come back in for a second consultation with another physician, thus costing another $300. Essentially the tests revealed I have DOR (which i susupected) and required another course of action.

perhaps look elsewhere? At the time of writing KU has 4 total RE's. You might be better served with one of them. We were fond of Dr. Lydic and heard great things about Dr. Holoch.

IUI with 5mg of Femara - cookie cutter protocol for unexplained infertility

$600 IUI

unwilling to discuss IVF with us so I'm not sure.

She is a knowledgeable physician. She is a wonderful and respectful woman. Her patients need to see her and they need an explanation from her. Especially when she is frequently changing their care plan. When she makes an agreement with a patient, it would be nice to know exactly why that agreement can’t be upheld? I feel cheated out of my care and I feel like I wasted my time and added more heartache.

You won’t see her. Write down everything you want to ask her. And keep it with you often because she might call you when you’re in the car.

For my cycles we used letrozal 2.5 mg 3 pills once per day on cycle days 5-9. Then I did Gonal-f 50 units on cycle days 10 and 11 in the evening. Then I had ultrasound monitoring and when ready an HCG trigger shot and timed intercourse.

My insurance covered the costs unless Doctor Marsh wanted any special testing.

I have not had a chance to progress further and do embryo transfers.

I only met with Dr. Marsh twice. Once before starting any treatment and then ten months later. I did not hear the words “Diminished ovarian reserve” until the second meeting after five rounds of treatment. I asked if IVF would be an option and was told there would be the same chance of success with what was being done at the time. Multiple other doctors have said they would have gone to IVF immediately instead of spending so much time doing other treatment. I believe if I have been told I had diminished ovarian reserve at the beginning, I probably would have researched Dr. Marsh’s success rates earlier. If I had a friend that was under 35, I might recommend them going to Dr. Marsh, but anyone struggling to get pregnant I would recommend elsewhere.

If you just need a little help getting pregnant and you appreciate a relatively hands off approach, she will be great.

All five rounds were three days of letrozole, then at about cycle day 6 I would start gonal f injections along with regular ultrasounds. After a few days I would be told to do the ovidril shot with intercourse three days after. All of this was instructed through the portal. Each round the amount of gonal f would be increased. All resulted in negative pregnancy tests. I tended to have ovarian cysts after a round of treatment which would add another month where nothing could be done.

My insurance covered most of the procedures and medication, but not the blood lab draws that were done regularly.

Dr. Marsh was not willing to try any kind of transfer.

My husband and I had been warned by several people that Dr. Marsh is incredible and truly amazing at what she does. She is incredibly smart and experienced as well as high success rates. However, some are very offput by her personality. Personally, we felt that we would rather have a doctor be successful on the first try that had a rude or cold personality (which is far from the case, she is very caring and kind) as opposed to a doctor with amazing bedside manner who made us feel great but took multiple attempts which means more money and time . Luckily, we discussed this all in advance and were able to make the decision expecting her to be super rude or something just awful. Dr. Marsh to me is more of a straight shooter who cares deeply about her patients and puts her entire heart into what she does therefore takes it seriously. She has always had a smile on her face and been very kind but always serious and means business.

dont expect a bubbly joking personality from her because that is just not who she is. instead you can expect her to be direct and honest and kind but with a very serious demeanor

I have bi-lateral tubal obstruction with the presence of fluid in my left tube. Following a severe sexual assault at age 20, I had a reconstructive surgery at age 21 attempting to repair my tubes hoping to one day become a mom. Sadly, the surgery was unsuccessful and I am now 29 with IVF as my only option. I am currently in the process of trying to finance the procedure as its not covered by insurance. Dr. Marsh expects that I will produce an abundance of eggs in just on retrieval as I have an AMH of 15.92 and very rarely get periods. As long as we get enough embryos as expected, my left tube will then be removed due to the presence of hydrosalpinx. FET will then occur as soon as everything heals (as soon as a few weeks later)

i know the cost for IVF including ICSI and FET is $11,750 and they will not split it up. This doesnt include medications. I requested the bundle as they called it be broken down as my insurance will cover some of it like ultrasounds, blood work, etc but they are not willing to do that and refused.

due to my age she said she would be transferring just on embryo

We had one face-to-face consultation with Dr. Marsh where she asked us a lot of questions and listened closely to our responses. She listened to every question we had and was well-informed in answering our questions. Dr. Marsh tends to keep her answers brief, but answers any followup questions. We had one unfortunate IUI with very low sperm count and Dr. Marsh spoke with us face-to-face about that situation. Our additional contact with Dr. Marsh has been over phone consultations following failed treatments. We have been able to quickly and easily obtain consultations with Dr. Marsh and review what we did and what are the next steps moving forward. She is quick to recommend changes to treatment as appropriate which I really appreciated. Her recommendations are guided by our situation and founded in a strong understanding of current research and data.

Being well prepared and informed has helped us make more efficient use of our time with Dr. Marsh. Have questions and topics prepared to discuss during your appointments.

We started with an IUI. Our last semen analysis showed just enough total motile sperm to make IUI a reasonable choice. Because she suspected that I might have a luteal phase defect, she also prescribed Letrozole (Femara) to boost my corpus luteum and progesterone for luteal phase support. Due to very low total motile count for the IUI, we decided to proceed to IVF. I have good numbers and wanted to do a fresh transfer, so Dr. Marsh prescribed low doses of medications for stimming (75IU Menopur and 75IU Gonal F, antagonist protocol). I started Cetrotide based on results from ultrasound and bloodwork monitoring. Dr. Marsh monitored and reviewed my results closely. I produced 9 eggs, 8 were mature, and 7 fertilized with ICSI, and resulted in 5 blastocysts. We transferred 1 day-5 embryo (after 5 days of 50 mg/day progesterone-in-oil) after the egg retrieval which did not implant. Immediately following we were able to start an FET cycle. Due to lack of implantation, Dr. Marsh had me do an endometrial scratch. I was primed with estrogen (Estradiol 2 mg tablets, 3/day) and started progesterone-in-oil (50 mg/day) and Endometrin (3 suppositories/day) 5 days before my FET. That embryo implanted, but resulted in an early miscarriage/chemical pregnancy.

IUI cost $600 plus meds. IVF cost $11,000 plus meds (ICSI included in IVF cost). Each FET costs $2500 plus meds (endometrial scratch included in FET cost). I think the pricing is fair and is clearly outlined in documents provided by the clinic.

Dr. Marsh very strictly follows a single embryo transfer policy for our situation (young, good quality embryos)

Dr. Marsh was on our team and communicated that everytime we saw her. I appreciated her optimism, while keeping it realistic. She spoke the truth and was really pulling for us to get pregnant. She listened to our concerns when we had them and adjusted accordingly.

Be your own advocate. Speak up when you need more information or have questions because it isn’t spoon fed to you.

Femara and Gonal RFF with Ovidrel trigger for IUI. Femara was used due to my history of endometriosis.

IUI was $600 plus meds and ultrasounds/bloodwork. IVF with ICSI was $14k plus meds.

Only eSET is used for my age range.

When I actually did see dr. Marsh, she was in very briefly and didn't acknowledge my concerns about cost, which Is a huge factor for us.she disregarded those questions aaaand asked like it didn't matter. I also have Cystic Fibrosis, which causes extra cervical mucus. She did not think that was a concern and did not address it. I feel this was a factor as all my nurses that performed my iuis mentioned it everytime that day. But my treatment was not altered.

Be prepared to do your own research and understand all your options before you make any decisions.

I was prescribed clomid and a shot to release the eggs. I was also prescribed levothyroxine and told to take folic acid. Told to call on day 1 of cycle, and start mess, then ultrasound, then iui.

$600 per iui, with a few hundred dollars for meds. $125 per ultrasound, which I did 1-2 per cycle.

Dr. Marsh is clearly an industry expert and engaged with the research community, which makes me feel confident that she is giving me the latest information possible. She is very willing to answer any questions I may have. She does not however offer over the top emotional support, which some women value.

Be prepared to ask a lot of questions.

We started with Femara since I have PCOS and using Clomid would be more dangerous. When I failed to respond, injectables were added to the protocol with a trigger shot. This hybrid protocol was used for all 3 cycles with increasing dosages of Gonal-F until I responded in a quick manner.

My insurance has infertility coverage even covering IVF. I pay roughly $500 per hybrid cycle with a max out of pocket being $5000 a year.

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Understanding that the majority of people who end up seeking treatment from dr Marsh are not straight forward cases and I am NO exception, I feel like she’s pretty good at explaining course of treatment and options. I do however feel like sometimes she generalizes and has a hard time thinking outside of the box. Dr marsh took over for a doctor that moved away in the beginning of my care at the clinic and my initial meeting with her was disastrous. Since that first meeting I think her bedside manner has improved tremendously and she’s become much more personable and relaxed with her patient interactions.

Advocate. Advocate. Advocate for yourself! Speak up!

13k for ivf cycle to clinic Approximately 1k per iui cycle

Dr. Marsh is a pro. She noticed my uterine lining was responding oddly to the medications prior to my FET, so she took me off meds and ordered a natural cycle with HCG trigger. It worked. We only had 1 genetically normal embryo, and she was very careful to ensure all conditions were absolutely optimal. She also took extra time with me after implantation when I had 10 weeks of bleeding due to a subchorionic hemorrhage. She never made me feel like a bother. I've sent my best friends to her and am currently starting my second IVF cycle in hopes of having a sibling for the 8 month old daughter Dr. Marsh already gave us.

Trust her.

IVF with ICSI and PGS testing (I'm over 40) Menopur, Follistim, Lupron, HCG trigger Natural cycle FET with HCG trigger and progesterone support (canceled medicated transfer because lining did not respond and I have a very regular 28-day cycle).

I believe the IVF cycle cost approximately $12,500. Plus, we paid approximately $2,000 for my husband's sperm retrieval and ICSI. Medications were approximately $4,000. And, we did pgs testing. I cannot recall the cost for this.

I was face to face with Dr Marsh on two occasions, the first when I had my consult and the second when I was there for what felt like the 100th sonogram. I never had any other form of personal contact from her. I walked away from Dr. Marsh feeling like all I had done was put money in her pocket and make a hole in my bank account and our hearts after month after month or failed attempts. I was so now to everything back then, I had no idea she was not doing everything possible and I did not know anything about IVF back then so I was clueless that IVF may be the answer to our years of unanswered prayers. I had to advocate for myself the entire time I was there, having her as a doctor and the lack of communication and the failed treatments was defeating. I wouldn't want anyone else to ever have to go through that. When you select a provider you do so in hopes they are going to side with you and help you attain a goal, a goal that you both put your heads together to try and achieve, this however did not happen.

If you want to use this provider, be your own advocate, do your own research and learn everything you can about infertility because Dr. Marsh is not the provider who is going to help guide you through this maze.

On our first cycle we used clomid 50mg for 5 days and gonal f 75 units at night, my follices did not respond and after 46 days of shots we decided to start over without them inducing a period and switch to femara 5mg for 5 days and then started back on gonal f we raised it to 100 units at night and after 120 days on this cycle I called it just before New Years. Every cycle after that we used femara 5mg and gonal f between 100-175 iu and then HCG shot and did TI none of the cycles resulted in a positive pregnancy but after the first one all of the cycles did result in follicles and with the HCG shot I had a positive ovulation test.

Usual costs of lab work, ultrasounds, and medications. My HMO covered most of my ultrasounds and lab work and I used compassionate care for the medications that were not covered.

Dr. Marsh expected me to have a good attitude... after going through the hell we went through at our first clinic I do NOT have a good attitude. I am NOT going to be optimistic or happy for them to poke and prod on me again for a bunch of money and another emotional catastrophe. Dr. Marsh is an excellent doctor, and had I not been through the first cycle at another clinic, I'd probably have glowing reviews... all in all though, definitely recommend, she cannot help my attitude, just made me feel worse when she would ask " is there something wrong?" YES!! There is something wrong... we are here and are hoping we don't get our hearts broken again! EVERYTHING IS WRONG!!!

Get to know her better on your first visit.

The costs were less than what we experienced at the Tulsa Fertility Clinic by several thousand dollars and included more in the cost.

Dr. Marsh was always willing to answer questions for me. She changed my treatment plan throughout different cycles as things changed. She would call me to discuss a change she wanted to make or if something didn't go as planned. I felt as if she was not in a hurry and wanted to make sure all my questions were answered. She would even meet with me sometimes to give me the next step information instead of the nurses from time to time. I really enjoyed being her patient and it was hard to leave. However, I was thrilled things worked out.

Advocate for yourself and ask any questions you want.

I had to jump straight into IVF with PGD. There was a lot of prep work before I was able to start my treatments. There were things that had to be done with my husband and my blood samples at an outside lab first. Once all that was complete, I started preparing for an egg retrieval. I took follistim and menopur until directed to stop. My dosage did change and increased over time as I was monitored. I then took the HCG injection to release the eggs and after the retrieval the embryos grew until day 5. The embroyologist took biopsied to send to our outside lab and the embryos were frozen. Once the results came back telling us which embryos were healthy, we started the prep for a transfer. I began using estrogen patches. Those didn't seem to work for me to build up my lining so they added in vaginal estrace three times a day. My lining didn't get thick enough so we cancelled the cycle. The next cycle I didn't use patches but used the three estrace pills a day and then we added in follistim injections. My lining got better, but we found that there was a certain point where it was as thick as it would get. We cancelled that cycle and decided to do another egg retrieval because my lining seemed to respond better with those meds. We did another retrieval and transferred one of my frozen embryos. I became pregnant but developed OHSS and then lost the baby. I had a D&C and got an infection. Once everything was clean and ready, I prepared again for a transfer. We used estrace vaginally, follistim injections and then progesterone. This pregnancy took and I am currently 34 weeks pregnant.

I believe my first full cycle was $13,000 and then my second cycle was $9,000. My final transfer was $2,500.

Dr. Marsh felt it would be best because of my age to transfer one embryo. We agreed with that choice.

We went with this clinic because we had a successful IUI previously to conceive our daughter. However, IVF is a whole other ballgame. Dr. Marsh did VERY little testing, only a saline sonogram to check my uterus. She did not complete new bloodwork or do any other sonograms to check for other potential issues. On the day of fresh transfer she was completely unable and or unwilling to answer questions about our embryos when we discovered there was only one that made it to blastocyst. That transfer resulted in a chemical pregnancy. For our frozen transfer she only required two monitoring checks and told us our blastocyst looked "good." (Later we would find out from a VERY well respected dr that the same blastocyst had quite a few dead cells. I was likely to not result in pregnancy.) Overall I do not feel that Dr. Marsh was honest with us about chances for that pregnancy.

I would STRONGLY recommend NOT using this doctor or clinic.

I started with BC to line up my cycle with when the clinic would do retrievals. I then began injections of follistim, menopur, and ganirilex. After 10 days I took a trigger shot of Novarel and then had the egg retrieval. That evening I was on Medrol, Doxycycline, Estrogen, and Progesterone. Transfer was completed 5 days later. This cycle was a chemical pregnancy. For the FET I was on Estradiol for 20 days before starting Endometrim for 5 days and then the transfer. I also had estradiol patches to increase lining. This transfer was negative.

Monitoring appointments were only done in the morning between 7-9 am. It was different every time I went whether you would wait for 5 minutes or 50.

A cycle of IVF was just under $10k without medication. A frozen cycle was a little over $4k without medication. All testing was a separate charge.

As to expect from most IVF clinics, patients will see a doctor in new patient visit. In subsequent visits, patient will communicate and see to APP/PA, RN and MA. For 3 IUI and 1 IVF, I only saw/ communicated to Dr. Marsh only twice for about 30 mins.

Prepare your questions, especially on medications and what type of protocal she plans for you and reasons behind it.

She decided to use basic Antagonist protocal with GonalF of 150 because I was 33. She thought it would be a simple case, but it turned out it was not.

Monitoring appointments were not the greatest experience because you couldn't see or know anything. They don't let you see anything or give you any print. You have to wait to get results on the portal.

Out of pocket was 13,+++ and medication was about 3,+++

She told me that it's a clinic's policy to do only 1 embryo transfer at a time.

Dr. Marsh always greets you with a smile and sits on your level. She listens, giving you time to explain your experiences, feelings, and thoughts. I have never felt rushed. Dr. Marsh is the only physician that I've seen that I feel like she truly cares. She changes and adapts things throughout the cycle as necessary. The only negative thing I can say is that her clinic is busy! You may need to wait some time to get in when a new appointment is necessary, which is disappointing, but speaks to how amazing she is.

Be prepared with questions you'd like answered, as she will take the time to answer all questions.

Started at a low dose of letrozole and increased after viewing ultrasounds, would adjust the dosing as needed

The clinic has a lot of special pricing for labs, tests, procedures that is set for people who's insurance doesn't cover care. I found these life saving

She was upfront but very kind. She truly wants to help you start a family and does what’s best for you as an individual not just a diagnosis. She likes to get you involved in the decision process and make sure you are ready for your treatment

Ask questions!!! It’s a busy clinic and sometimes you get pushed through and then totally forget all the things you wanted to ask...write them down before!

They use the online eIVF messaging website. That’s the main way you get appointments and procedures planned. The nurses navigate your care and are the ones that typically tell you the plan! I have PCOS so they start out slower Like pills then the injectables and then work your way up to IVF.

IUI 900 IVF 14000

For all women under 35 they do single.

Dr. Marsh always explained plan for treatment and answered any questions that I had. Office staff and Dr. Marsh always showed encouraging and positive attitudes. Like that I can communicate with them thru the portal and am always answered in a timely manor.

Try to always be optimistic, being negative only creates stress. Know you are not the only person with this issue and trying to conceive just like you.

Timed intercourse- Tried with just taking on hormone with trigger injection and then after a couple of cycles with no luck turned to two hormones at the same time with trigger injection.

$329 for every ultrasound done to look at my follicles- $107 for every injection that would of been monthly- and $25-30 for hormone medication also monthly

Dr. Marsh's team is very responsive via their portal which I really appreciated. She also took into account how much exercise matters to me and while telling me to drop it down, did not ask me to stop completely. I appreciate that she was willing to escalate treatment aggressively.

I started with letrozole 2.5mg and still did not ovulate until very late (CD26?) and so we increased to letrozole 5 mg. That still did not produce a mature follicle so we added menopaur. I ovulated on CD16. Then I increased to letrozole 7.5mg followed immediately by menopaur and I ovulated CD13. In all of these cases, I used the ovidrel trigger shot and took progesterone 100 mg BID vaginally following ovulation. I have not had a positive pregnancy test yet, but I am hopeful. In my case, I am a normal BMI but have very very low hormone levels which is preventing ovulation. I also take levothyroxine 50 mcg.

I pay $75 out of pocket with my high deductible insurance for each ultrasound. I think my consultations with Dr. Marsh are $300ish. The meds are very more expensive.

I do not know