Dana Ambler

My first meeting with Dr. Ambler left me feeling like I wouldnt pursue IVF with this clinic (I had already started ovulation induction with my OB prior to starting on at Denver Fertility Care). Getting more serious about next steps I started consulting with other doctors in the area and scheduled a regroup with Dr. Ambler. At my regroup she made me feel comfortable about next steps and we shifted our current plan for controlled hyperstimulation for the next couple cycles while also starting the groundwork for IVF early next year.

Do some research and be familiar with your own testing and results, come to appointments prepared with questions you want addressed. She will answer your questions but only if you ask them.

I had already done three cycles of letrozole before coming to Denver Fertility Care. Dr. Ambler started me on the 5mg dose and scheduled ultrasounds around days 2 (baseline), 11 and 15. My first cycle I had a really thin lining so they added estrace which thickened my lining but caused issues with ovulation. I ended up ovulating two weeks later after a really weird ultrasound led us all to believe I had ovulated around day 15 (progesterone tests proved I hadn't). For the next cycle we increased the letrozole dose to 7.5mg and still had my ultrasounds around days 2, 11 and 15. This time I had one follicle ready to ovulate and we triggered. We just had a regroup and are on our third cycle. This cycle we increased to 10mg of letrozole and added micro doses of HCG. The reasons for this are that I consistently ovulate one egg from my right ovary cycle after cycle. I lost my right fallopian tube earlier this year to a ruptured ectopic so our goal is to either get the left ovary to ovulate and/or to ovulate more than one egg to increase the odds that at least one will make it into the left tube. I also have a large dermoid cyst on my left ovary and consistently have low follicle counts on that side.

I am currently being treated through insurance but my insurance only covers the medication and cycle monitoring, I dont have any coverage for IVF. Letrozole is covered 100% by my plan but I pay out of pocket for the trigger and microHCG which is about $120 a vial- one vial for trigger and one vial for about 2 cycles of micro injections. Without insurance each monitoring visit would be about $300 ($225 for the ultrasound and $75 for the nurse consult) according to the self pay sheet. After insurance this is about $65 a visit for me. Since we are looking to move on to IVF they have sent me the self pay cost sheets and it is looking like it will be about $9k for retrieval and $5k for transfer- without testing or medications (not sure yet what my medications will look like).

We haven't talked about this yet but Dr. Ambler seems set on shooting for a singleton pregnancy even with controlled hyperstimulation so I am guessing she probably has a similar approach with transfers.

Dr. Ambler is the exact person who I would want with me along in this journey. First point being that my husband walked out of our first meeting with her and said, "She's got this, I can feel it. She cited papers!" My husband is not particularly trusting of doctors, and his immediate comfort with her and her abilities made me feel more at ease. She is a no bs kind of woman, but somehow is still incredible compassionate. At one point I ran into her in the hall after talking with the nurse about my lining finally being up to where we wanted it, and she gave me a huge smile and told me (something along the lines of), "I'm loving that lining, girl! Let's do this!" We're finishing our last IUI cycle now, and if it's a negative, I have no doubt in my mind that Dr. Ambler is who I want doing my IVF. Something about her just releases all my tension about it. I walk out of her office truly feeling a "We got this." sentiment.

Be completely honest about your concerns. I felt a bit intimidated by her presence at first, but after a few interactions, I was more comfortable in asking my "dumb questions", which of course were never actually dumb, and she never once made me feel like they were either. Whenever I was actually honest with how I was feeling and what my concerns were, she always alleviated them with her thorough answers and cautious and practical optimism.

So, I have diminished ovarian reserve, and when we started going to Dr. Ambler, I had an AFC of ~3-6, AMH level 0.6, FSH 19, super low testosterone, low TSH, cervical stenosis, and suspected endometriosis (never been confirmed, but now seems less likely). She had me immediately get on a DOR supplementation schedule - Vitamin D, Fish Oil, CoQ10, Prenatal, DHEA, Ovasitol, and PQQ. Since the studies have shown that egg development begins 3 months before ovulation, she had me stay on these for the 3 months before beginning my first IUI. That one was purely Clomid 100mg Day 3-7, and progesterone suppositories (I have low luteal phase progesterone) in the luteal phase. I had a ~7mm lining and an 18 mm follicle. That resulted in a negative test. My second IUI was Letrozole (with the hopes of improved lining, as Clomid is known to decrease lining), 10 mg CD 3-7, with luteal phase HCG (I had bad side effects from the progesterone, so we switched to the HCG to increase my luteal phase progesterone). Side note, in both of these, I ovulated on my own ~CD 16. I had 6-7mm lining with a 21mm follicle. Also resulted in a negative. My third IUI was same protocol, but added Estrace, 1 mg vaginally CD 5-surge (hoping to increase my estrogen, and therefore, lining). My follicles went weird, and turns out I had an anovulatory cycle, so that IUI was cancelled. We did a reset cycle - estrogen for 21 days, then progesterone to start up my period again. IUI #4 I did the Letrozole, and then added micro HCG (for lining), instead of Estrace (thinking maybe it did something weird - turns out it didn't), CD 6-surge. I had a positive OPK way too early, so the cycle was cancelled (we now know that I apparently sometime have false positives, as my LH was still low). I am currently on IUI #5 (and last). We did Letrozole, micro HCG, and Estrace. My lining has been dragging along, so we went ahead and added Ganirelix to delay my ovulation until we could build that up. Since it's my last IUI, we're putting everything into it. I do have a couple of follicles in the mature range, so we're hoping that everything lines up this time. I'll go back in for an ultrasound to check my lining and trigger tomorrow if it looks better, with hopefully an IUI the following day. (By the way - there is no male infertility to speak of in our case). Then I'll be on the luteal phase HCG 2.5 ml 3, 6, and 9 days after IUI. It has been really helpful that they have monitored me really well throughout all of the cycles - with ultrasounds 2-3x/week during stims.

My IUIs were covered under insurance, so costs so far have been minimal. $25/ultrasound, $30 for a visit with a nurse, $50 for a visit with Dr. Ambler. Labs were done in house. Not sure about IVF costs.

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She was so kind and I appreciated that she was honest about risks. I thought she was a good balance of a sweet bedside manner, sympathetic about my history, while also laying out the risks moving forward with IVF. I did not feel like a number at all and there was no pressure. I know she will be supportive of whatever we decide.

Don't be afraid to ask questions and even come prepared with some. Dr. Ambler is more than happy to answer any of them and wants to ease any concerns you might have.

Dr. Ambler suggested a cycle of IVF moving forward. She explained it would take about 4 months from start to finish. I need to have a FEMVUE first to see if I have a tubal blockage. If it's blocked I will need surgery to remove or block off the tube so it will not affect implantation of an embryo during IVF. She said I am a great candidate for IVF. For IVF cycles her office does frozen embryo transfers, prefers ICSI, and we will also do the optional genetic testing to reduce our chance of miscarriage.

If you pay with cash or check instead of credit there is a 3% discount. For phase 1 of IVF it is $7905. The Embryo Transfer is $3007. Additional costs we are paying for are genetic testing which will be about $2500. Plus the cost of the medications (about $5000).

She is NOT a fan of implanting more than one embryo. She said she NEVER recommends implanting 2 embryos to patients ever. She was very clear about the risks, which I appreciated. With my first pregnancy I had preeclampsia at the very end, but didn't have it at all with my second. She said the chances of me having preeclampsia with twins is 7 times higher since I have had it in the past. She also said embryos can fight for space, and also since she prefers ICSI the embryo has a 5% chance of splitting. So there is a concern for having 3-4 babies. Ultimately with us knowing the risks, she said she will support us whatever we decided to implant one embryo or two.

Dr. Ambler is incredibly kind and caring. She is direct and to the point, never leaving out any details, and always asking what she can answer for you. She is very thorough and also patient. She was always sensitive to what I was feeling going through this very emotional journey. I feel that she gave me exactly the care that I needed.

Ask her anything that you have questions about. She will always take the time to answer them thoroughly and genuinely cares that her patients understands all the risks and benefits that come along with this journey.

For the egg retrieval we started with what I understand to be a conservative treatment as I have PCOS and she was being considerate of that to keep me safe from developing OHSS. I had a very successful egg retrieval with the protocol that I was given. For my transfer I did birth control and a month of Lupron as well as HCG shots leading up to transfer and just completed my estrogen and progesterone medications in week 11.

I didn't have any coverage so I believe that the costs were approx. as follows (without looking up for exact numbers). Egg retrieval cash payment $10k. Egg retrieval meds $6k. Uterine testing for transfer $1k. Transfer cash payment $6k. Transfer meds. $4k.

Dr. Ambler strongly suggests one embryo transferred at a time. I never requested to do more than one as based on her recommendations on the risks vs benefits I trusted that doing one was the best option for me.

Dr. Ambler is informative and well-educated in her field of knowledge when it comes to infertility. She makes sure to give you all the information regarding your situation and then takes the time to liste to any questions you might have after you hear the results. I truly appreciate her being thorough when the last doctor was not and the fact that I got to see her more than just once with questions I have regarding my fertility situation.

To make sure to ask all your questions and that no question is stupid. If you're ever unsure about something, don't hesitate to reach out to her. She's more than willing to listen to you if you're not getting the help you need.

Dr. Ambler is my 2nd fertility doctor after I made this switch to their clinic. We started form ground zero as if I've never been to a clinic, which I appreciated. Our first visit was over video call to do a consult and set expectations. I came in to do an ultrasound to check my uterus and ovaries again. Turns out my former doctor missed this and my polyps reappeared. We scheduled for a hysteroscopy before proceeding to do another set of IUIs (three). Surgery went well and no blockages in my tube. We begun the IUIs with medicated cycle as my period was not normal and I was also diagnosed with PCOS. My lining was not thickening enough so I was prescribed HSG (progesterone) shots and estradial (estrace). I also started with Clomid for first round and then Femara the next two rounds. Last round I also took Gonal to help with ovulation but after the trigger the last IUI did not work. We did take a month break between the IUIs for medicated timed intercourse. Despite the set of eggs and timed intercouse, none of the 3 IUIs worked. Late 2021, we discussed next steps for IVF. Currently, we've been saving the funds to plan for IVF. Late of 2020 and into 2021, I worked for a start up but they were not able to pay me. Not until I found a new job late in 2021 that I could start saving funds for our first round of IVF. Hope to start our session in May-July.

The cost has risened each year. Sadly, from 2021 to 2022 the cost for IVF went up an extra $2k. It seems as if their price goes up every year and sometimes twice a year. This could be to the cost-living or due to how many people want to go to this clinic. They are quite expensive than most other clinics.

She said that the results for a single embryo vs multiple embryo transfer can result the same. Meaning nothing, one or both. It was not a guarantee that both embroyos would be a greater chance for pregnancy.

Dr. Ambler was truly the best possible doctor for us to have at the exact right time. As said before, we had just been through an absolutely horrifying experience with another clinic and doctor, so we were already on guard and traumatized when we met Ambler. She was kind, patient, communicative, and very compassionate. She has a way of giving you the information you need without you feeling like it is the end of the world. Even when it feels like it could be. She is warm and upbeat, and remains cognizant of where you are in the journey and adjusts accordingly. She also has a great sense of humor, and puts you at ease when working with you. All around excellent Doc!

Be honest about your journey and your mental state, ask all the questions you want to ask, and know that you have an excellent doctor in Dr. Ambler.

We had a missed diagnosis for several items from our prior fertility clinic that Dr. Ambler caught just in our initial discussions with us (stenotic cervix, hyperthyroidism). Dr. Ambler kept the TSH levels tightly controlled and checked the levels monthly. She paid extremely close attention during the two egg retrievals we went through to carefully control Estrogen levels and produce healthy eggs. When the first retrieval identified a poor egg quality issue (even though blood work never indicated this), Dr. Ambler adjusted the medications for our second egg retrieval to include additional hormonal therapies to increase the odds of viable embryos. As a result we got 6 healthy very high quality embryos and are now expecting our first child.

If you pay with cash or check instead of credit there is a 3% discount. For phase 1 of IVF it is $7905. The Embryo Transfer is $3007. Additional costs we paid for are genetic testing which was about $2500. Plus the cost of the medications (about $5000). However, we were one of the lucky couples that had insurance, so we were able to have the nursing staff and doctor apply for a pre-approval and most of our costs were covered. Now that Colorado has a new law making Fertility Treatment Insurance mandatory, I expect others will have more luck getting it paid for as well. Dr. Ambler's clinic team in the billing department was excellent at handling all the insurance related items. Overall, our cost for two egg retrievals, and IUI, multiple cervical dilations and two embryo transfers was less than $12,000, including medications.

Dr. Ambler advocates the single embryo transfer method, and will explain in detail why this method is recommended by her. They do give you the option to have two embryos transferred, but after hearing her reasons, we trusted her assessment and went with a single embryo.

Dr. Ambler was great to work with. She clearly explained everything when we spoke and she made me regain the hope I had lost from our previous RE. She completed our 1st and 2nd IUI and she always was very open to any questions that we had. She always wanted to make sure that we were all on the same page at all times. During the entire year we worked with her, there was only one moment that we felt like we weren't in the loop and that was next steps after our IUIs were completed. We cleared that up though during a phone appointment.

Take her up on questions - she's so open to giving honest answers about everything. We felt VERY out of the loop at our previous clinic and here we felt like we knew what was going on.

Dr. Ambler put me on 7.5 mg of letrozole for ovulation and then also gave me progesterone suppositories the last 2 IUIs we did. She also gave me a hormone trigger shot for the first IUI. My follicles were big each time and my body was reacting well to all the medications.

We paid for everything out of pocket because our insurance doesn't cover fertility treatments. IUIs were reasonable at around $400 or so. I appreciated that Denver Fertility provided a complete price breakdown when we first became patients, so we knew what we would be responsible for.

Dr Ambler is very direct but kind. She thoroughly explains everything and confirms understanding. She is compassionate but not super warm. I trust her 100% with my care. I feel like she always has my best interest in mind. I feel like she is progressive and keeps current with fertility advancements.

Speak up if you are unsure of something or don't understand something.

Due to DOR, Dr. Ambler suggested 60 days prior to retrieval egg health supplements, including fish oil, ovasitrol, co q 10, and ovavite pre-conception vitamins, and vitamin d. I think these gave me the best shot I could have at a successful retrieval. I am pleased with my retrieval results.

$8800 for ER and care up to ER, $4000 for FET and care associated with FET. $6000 for drugs associated with IVF cycle (ER & FET). PGS testing $250/embryo.

Dr. Ambler feels strongly about transferring only 1 embryo, mainly for the health risks involved. When I asked about transferring multiples, she said she would but did not recommend it.

Dr. Ambler’s direct approach regarding communication was so helpful in understanding what we would face at every turn. That’s not to say the process was smooth (far from it) but I felt like I was cared for and that made the process bearable.

Ask lots of questions, read their website, meet the embryologist. Really get to know the staff who will be helping you!

At first, we wanted to try IUI. Even though my husbands semen analysis was a little low, we gave it a few try’s without any success. We moved on to IVF and had great fert but most of our embryos did not grow well. We were diagnosed with poor egg quality but we did get a transfer that resulted in a chemical pregnancy. My husband and I decided we could only manage one more attempt so we decided to use donor eggs. With frozen donor eggs we had great results. With three normal embryos frozen, I got pregnant with our next transfer. We will be back fo #2 and #3 as soon as we can!

For three IUIs, one retrieval, donor eggs and two transfers, I think we paid a bit over 25k. They do emphasize that they are the most affordable in Denver but I must say it doesn’t feel like anything was missing.

Dr. Ambler strongly recommended the transfer of one embryo at a time. She explained all the risks of twins and we were quick to agree. Since we had genetic testing we felt confident with our decision.

Dr Ambler is amazing, she is very helpful, explains things in ways you would understand, coming from a medical background myself she made sure to talk to me in medical terms and put things into situations that I could relate. She never once made me feel less then I am, she treated me as a human and made sure she tried everything she could to work with my insurance when I first started there I had Kaiser and she would communicate with surgeons there so I could try and get my treatments covered. I switched insurance during my 2nd cycle and she made sure to work with me in identifying if she was in network! She gave me all my options upfront and didn't allow me to jump the gun on unneeded changes.

LISTEN TO HER! She knows what she is talking about and isn't lumping you into other women. Everything in individualized. She doesn't mix up information and makes sure she knows what your goals are.

I had borderline doppler results, basically meaning the blood flow to my uterus might be slowed), she recommended acupuncture, however with my income and work schedule I couldn't go to the acupuncture 2 times a week for 6+ weeks. She suggested I take Pentox, Viagra, and vitamin E before my transfer cycle to make sure we were addressing the blood flow part of my results. My insurance covered these medicines and one is over the counter so it was far easier for me to manage with my schedule and my financial situation. She also is a big believer in doing trigger shots after the transfer to try and help the body accept the embryo, makes it 100000% harder not to take a pregnancy test as you can get a false positive thanks to the Hcg in the shots.

Denver Fertility was about the 1/3 of the cost associated with other clinics. The embryo transfer (frozen) was $3007 if you paid cash or check. There was also a required Trial embryo transfer $150, Sonohysterogram/Hysteroscopy $550, & Doppler Ultrasound $225 but those could be billed to insurance. The Trial and Dopplers only had to be done once as long as there was no gap in between transfers, I had a almost 6 month gap between my 2nd & my now 3rd and I had to redo the Trial to make sure nothing had changed. The meds are different depending on insurance and depending on which pharmacy you use mine were about $1900 for the first 2 transfers completely out of pocket, the 3rd transfer im spending about $350 thanks to insurance coverage

My Dr told me upfront that she would only transfer 1 embryo if I had them genetically tested as I was only increasing my chances of multiples by transferring more then 1 since I was young, healthy, and my donor was also young and healthy. I didn't do genetic testing and she agreed to transfer 2 embryos since I had 5 failed iuis and 1 failed FET with 1 embryo transfer.

I only met Dr. Ambler once, she seemed really nice. She was informative and I felt like she was going to lead us in the right direction. I wish I could of had more communication with her. To bad the customer service did not match

They apologized for the loss of communication, and said they were going through staff changes. I would say to maybe wait until they get settled with their new staff.

So I was in the begging steps of starting IVF, getting all the bloodwork done, ordering meds and exams.

Total cost to do IVF was about 14,000. But the test leading up to that was 2,600

She fully explains everything. She does talk very quickly, as there's a lot to cover, but she leaves time for questions and doesn't rush you out. Everytime you see her for procedures, she takes time to answer questions if you have them (and seems confused if you don't). The quick talking can be slightly overwhelming if you haven't done any background research (my husband got a bit glazed over at one point), but she's perfectly okay with being interrupted for clarification.

Do a little background research, to learn some of the terms. Even just a basic understanding will allow you to get more from your appointment. Take notes or ask if you can record the appointment - she always covers a LOT and trying to remember can be daunting.

After testing, we discovered I had diminished ovarian reserve due to one ovary not really doing anything at all. She put me on a supplement protocol. After 8 months on the protocol, I'm pleased to report my sleepy ovary has woken up and started ovulating normally! We did several rounds of Clomid/progesterone with IUI, but my response to Clomid was not fantastic (it was "okay" but not spectacular). After no pregnancies, we decided to try letrozole/progesterone. I responded extremely well to letrozole, and produced 3 follicles for the first IUI (and ovulated before the 2nd cycle ultrasound). She will cancel if you exceed 3 follicles. We needed to take a break, but will try two more letrozole/progesterone IUIs, as I responded well to them, before moving on to IVF. She is unsure why I'm not pregnant yet, as my response to the meds should have resulted in pregnancy by now.

IUI is $300 (self-pay). That includes semen wash/processing and insemination. It does NOT include medications. Ultrasounds, medications, labwork are all covered by my insurance, so I'm unsure what the self-pay is for those. The clinic has a great IVF self-pay package and provides a lot of resources for financing. The egg retrieval and fertilization (and 6 months of freezer storage) is just over $8000. The FET is just iver $3000. Those prices do NOT cover meds or any additional testing (PGS/PGD, trial transfer, etc) because those costs vary so widly based on what the patient needs.

She was very clear on her diagnosis and recommendations for treatment. She gave a diagnosis that was different from every other Doctor seen and explained why. She was very honest on all possibilities.

Send everything prior to your appointment

All other Doctor's seen prior to Dr. Ambler reported that my husbands Sperm count and motility were low but not concerning and would just take longer but had no further recommendations for him. All recommendations were for me (lose weight, stop drinking caffeine, cut stress), but all of my test results were good. Dr. Ambler was clear that my husband's testosterone was too low and was impacting his motility. She ordered him some supplements that greatly improved his count (20 million to 93 million) and has prescribed him clomid for 3 months to increase his testosterone. Depending on his results will determine whether we pursue further interventions. If his motility does not improve, she is recommending IUI with both frozen and a fresh sample.

Treatment costs are definitely less than other clinics in our area. We are paying out of pocket and Dr. Ambler works with our insurance for things that can be covered (blood tests, semen analysis, etc). Self-pay for the consultation is $225 and they provide you with a list of everything and the costs.

Infertility is a hard path to navigate and Dr. Ambler is/was very accommodating and compassionate during the process. I trust her judgement and knowledge. Nothing is more comforting than knowing that your doctor is doing 100%. Ive seen other doctors and I know they've let my treatment slip through the cracks. Dr. Ambler was testing for things and going the extra mile to help us succeed in obtaining a successful pregnancy.

This is very cliche, but before your appointment list out questions you may have. She always asks if you have questions. She takes time to anwser them, so take the time to write down your questions.

HSG- to make sure there wasn't a blocked flaloppian tube. Both tubes were clear. Blood Draws- check hormone levels Egg reserve with US- good egg numbers sperm analysis- my husbands sperm would preform

This depends on your insurance and insurance codes they use. I know they have lower costs for IVF, we are not IVF patients.

Dr Ambler has been amazing through this whole experience. She has great bedside manner, she’s easy to talk to, and makes me feel like I really matter to her. She always address’s me by my first name, as well as my husband. Appointments with her are easy, comfortable, and pleasant. She has a great attitude and always seems very happy, which really helps when going through this tough journey. We couldn’t be anymore pleased with her care.

Don’t be afraid to ask anything! For most women going through IVF, it is scary and intimidating. Dr. Amber is reassuring and wants to be sure you understand everything!

Unfortunately, Colorado does not have mandated coverage and our insurance plan has no IVF coverage. We paid completely out of pocket, phase one which included stimulation, monitoring, and egg retrieval was near $12,000. This did not include my $5500.00 in medications, anesthesia for egg retrieval, and blood work. We are awaiting phase two, or FET, which is $5000. This also did not include $2500 in meds and some blood work.

I liked Dr. Ambler’s bedside manner and she did an okay job of explaining things the few times we saw her. However, when we got very, very bad results from our first and only IVF cycle with her (0 embryos from 14 eggs) we had to request a phone call with her to go over what happened when the nurse had no explanation. Dr. Ambler told us that it was my egg quality and gave us a devastatingly bad prognosis. She was willing to do another cycle but wouldn’t change anything. We decided that didn’t make much sense and switched to CCRM, who did additional testing and suggested a different approach. We got 12 beautiful embryos from 20 eggs with my first cycle with CCRM. I’m currently looking at my beautiful 3 month old twins from that cycle. Dr. Ambler said I had DOR and poor egg quality but CCRM found no evidence of that and said it was unexplained infertility. We asked Dr. Ambler if it could have been her lab or the protocol that gave us such poor results but she refused to take any responsibility and was unwilling to try anything than her standard one-size fits all approach. We thought we were saving money by going to her but we would have saved so much if we just went to CCRM first. We also would have saved the heartache of hearing our doctor, who we had trusted and been under the care of for nearly a year, tell us that we would probably never have our own biological children. The few months between hearing her prognosis and getting the positive pregnancy test were the hardest of my life. I know it’s impossible to have any certainty in this area, but if we had listened to her we would have likely given up on IVF. Instead CCRM gave us hope, 12 embryos, and 2 beautiful babies (so far!).

If you are able, go to CCRM. They have the best lab, doctors, and nurses. When we did IVF it was about $5,000 more per cycle, but the quality of care was noticeably better in every way and the results were worth every penny.

Even though she suspected DOR, Dr. Ambler had me on birth control to prime for my egg retrieval and help with timing (they only do egg retrievals one week per month). CCRM did estrogen priming instead and we got many more eggs and better quality eggs as well, and we followed my body for the perfect time instead of the clinics schedule. Dr. Ambler would only do frozen transfers, but we had nothing to transfer. CCRM said for us, if egg quality might be an issue, we should try fresh (which worked) for our 2 best embryos and the remaining 10 were frozen, even though they typically recommend frozen. Dr. Ambler had me on DHEA for several months prior to my retrieval. CCRM took me off of it immediately. They said my levels were so high it looked like I had a tumor and the test doesn’t run that high, not to mention I was having horrible side effects that I complained of to Dr. Ambler. Dr. Ambler ran this test but did not share the results with me, only cut my dose in half and did not retest.

I can’t remember exactly but I think IUIs were around $1k each and IVF was around $25k without a transfer.

She was very nice at first. THrennwe srarted doing every test in the book. This became really expensive. We did many tests and really never heard about the results. Finally we found out that my husband had a very low sperm count, which they called to tell him on his birthday. We finally called to find out what was going on and she broke the news to us that my husband has y-chromosome microdeletion. Basically the ball was completely left in our court with the option being $30,000 to move forward. We hadn’t heard back from the clinic since. ZERO follow-thru.

One would be to not call with Devastating bad news on your birthday! It was not life-threatening so it probably could’ve waited a day. Second I would say follow through with the patient! Finding out that it’s going to cost $30,000 to conceive it is a lot for someone to take in. Telling someone that and then never following through really just leave them there to be sad and feel helpless.

We never got to the IVF portion. We only made it through the consultation, and all of the expense of testing to find out that my husband had a genetic disorder causing in fertility. We never moved forward mainly from the lack of follow through and overwhelmingly worried about the financial cost.

We did many genetic screening, bloodwork, and ultrasounds with the office. About 50% of this was covered by insurance. We never moved forward with IVF with this clinic. There is never any follow-through to help us along the way. We still owe the clinic thousands of dollars.

Dr. Ambler was a clear communicator and was genuinely invested in my care and outcome. I felt confident in how she approached my case, we did significant testing and based on the results she presented options and recommendations for next steps. I felt confident in her care and the plan to to get to a positive pregnancy. I've gone to Dr. Ambler twice and absolutely recommend her.

Be prepared with any questions you have and she will go through them with you at your appointments. If something comes up after hours, don't be afraid to call her on-call.

We decided to move forward with IVF from the very beginning. My first cycle for egg retrieval didn't go as planned (the follicles/eggs weren't mature enough) so we needed to cancel. I was of course very disappointed, but I really appreciated that Dr. Ambler called me herself to explain what was going on and the rationale for canceling that cycle. For the next egg retrieval cycle, we were able to change my dosing so that my follicles/eggs looked great and we could move ahead confidently for the retrieval. I've gone to Dr. Ambler for 2 embryo transfers, and they were both successful. Per her recommendation, I utilized an acupuncturist for each and found that to be very relaxing.

I don't really remember but given what I know from other friends that have gone through the same thing, I think my costs were average.

In my case, Dr. Ambler recommended a single embryo transfer and I felt comfortable with her reasoning.

Dr Ambler was always very positive and upbeat— smiling and making jokes to ease our minds even during the tough and painful parts of IVF. I can tell she really loves her job and wants to give patients every chance at success. Our first visit we had a small miscommunication about the cost and next steps for the IVF procedure but she made it right and communication was good from that point on.

Retrieval: Menopur 75iu Cetrotide FSH/Gonal F 100-150iu Dexamethasone 1mg produced 29eggs on retrieval day, 22 were mature, 10embryos made it to day 5 Transfer: estrogen patches & tablets progesterone oil injections lupron 10iu valium transferred 2 “A” graded embryos, both took, twins born 5/7/18

IVF Freeze-all cycle cost about $12k plus about $3k for medications Each Embryo transfer cost about $4,500 and about $1,500 for medications

Dr Ambler gave us all the statistics on transferring 1 embryo vs 2 embryos but ultimately left the decision to us. We decided to transfer 2 embryos and she was fully supportive.

I loved Dr. Ambler from the very first visit! She was so great, friendly, educated, and straight forward. When I had concerns she was available to answer my questions. She was really good at making sure I felt comfortable with what the plan was and made sure to answer all questions I had.

If you go to Conceptions make sure Dr. Ambler is your provider.

We went to Dr. Ambler as a LGBT couple hoping to have a baby. We started with the IUI process but after 3 failed medicated IUI cycles Dr. Ambler felt we needed to move to the next step and we agreed. We decided to do an egg retrieval with a freeze all cycle. After the retrieval, Dr. Ambler diagnosed me with poor egg quality. We had one embryo make it to freeze. Dr. Ambler wanted to move a head with the frozen transfer of our one embryo, and I am currently pregnant with our one little embryo.

Total cost for treatment including 3 IUI's, egg retrieval, frozen transfer, and medication was about 26,000

We only had one embryo to transfer so this was never and issue. Dr. Ambler wasn't completely opposed of transferring 2 embryos but I think it is very situational.

Dr. Ambler is not overly compassionate and can present information in a blunt manner, but she delivers bad news gently. I prefer physicians who present information factually and avoid sugar-coating bad news, so I liked Dr. Ambler's approach. Infertility diagnoses and treatments can be confusing, so it is challenging as a patient to know what questions to ask during office visits when you hear your diagnosis for the first time. Dr. Ambler and her nurse were available to answer questions after appointments if I had any. Dr. Ambler changed her treatment plan for me as needed based on my results & response to medications. She kept me informed regarding why she was making the changes and what to expect with the new medications. In addition to the initial consultation visit, Dr. Ambler also met with my husband and me after completing 3 rounds of treatments to reassess our plan.

Research infertility treatment options before your consultation visit and come with prepared questions. I recommend reading Toni Weschler, MPH's book, "Taking Charge of Your Fertility" to better understand reproductive health, in general. Schedule time for acupuncture, massage, or relaxation to help you maintain sanity while addressing infertility.

First Cycle: Took Clomid 50 mg for 7 days. Dr. Ambler also prescribed DHEA 75 mg daily (lab work performed to find optimal dose) and 300 mg of CoQ10 daily. I developed an ovarian cyst with Clomid and did not release an egg. Clomid was given to encourage my body to produce more FSH and LH to stimulate egg production. CoQ10 and DHEA help make mature ovaries (maternal age above 35) more responsive and "youthful." Second Cycle: Took Clomid 50 mg for 5 days. Ultrasound showed an 8 mm immature follicle only on day 12 & LH surge detected in bloodwork on same day. No trigger medications given due to follicle immaturity. Natural intercourse with husband recommended but did not result in pregnancy. Third Cycle: Letrozole 2.5 mg pills taken once daily on cycle day 3 to 7. Daily Menopur 75 IU subcutaneous injections started on day 6 until day 9. One mature follicle and one immature follicle were noted with ultrasound on day 10. Lab work indicated I was going to ovulate early, and the egg was released before triggering and retrieval could be performed. Again, natural intercourse was recommended, but no pregnancy resulted. Letrozole (Femara) was given to stimulate follicle development and ovulation. Femara is often given if a woman does not respond to Clomid. Menopur is a gonadotropin that mimics FSH and stimulates the ovaries to produce follicles. Fourth Cycle: Letrozole 5 mg was taken from cycle day 3 until cycle day 7. Menopur 75 IU subcutaneous injection was given cycle day 6 until cycle day 10. Menopur 150 IU subcutaneous injections started on cycle day 10. Lab work and ultrasound performed on cycle day 12, and I again showed signs of early ovulation. Two mature follicles noted. No triggering medications given, and no egg retrieval possible. Fifth Cycle: Letrozole 5 mg taken cycle day 3 to 7, menopur 75 IU injections given days 6 to 9, menopur 150 IU given days 10-11. Ganirelix started on day 12 to prevent ovulation until follicle could mature. Intra-uterine insemination performed, but did not result in pregnancy because of poor sperm quality (low motility, low count, abnormal morphology). Continued intra-uterine insemination, despite low quality sperm, because my ovary had prepared a healthy mature follicle. Prometrium 200 mg (Progesterone) was taken after IUI. No pregnancy resulted. Ganirelix is a gonadotropin releasing hormone antagonist and was given to delay ovulation since I had a pattern of early ovulation.

I don't remember the exact costs of the medications, but I paid between $200 to $500 for the medications each cycle. The IUI cost approximately $4000. My insurance covered lab work and ultrasounds at 80%, so I paid $50 to $150 for diagnostic testing.

Dr. Ambler did not express a strong preference for single vs multiple embryo transfer, but we did not reach a point in my treatment where we were discussing embryo transfer for IVF. At the consultation, she recommended single embryo transfer due to risks associated with twins, triplets, etcetera.

From the minute I met Dr. Ambler she was very kind and compassionate. She was open and honest about my diagnosis. She let my husband and I know that we had options. I have never felt like a number or like they were just trying to get money out of us!

Be open minded. Dr. Ambler lays all the options out and helps guide to the most reasonable options.

My last cycle I was on Clomid 100mg days 3-7. I ovulated on my own and had 2 eggs release and had an IUI. I began prometrium suppositories the night after ovulation. I unfortunately had a negative pregnancy test. I am starting my second cycle for IUI. She will continue with the same protocol this cycle.

I have yet to receive a bill and I have been seeking their care for 3 months. I am fortunate enough to have some coverage under insurance and I know it takes time. IUI cash pay is $300.

She was warm and answered all of our questions thoroughly - and we had a lot! She also was up to date in the latest research, and engaged with me about my own research. She delivered some difficult news with compassion and worked with me to figure out next steps.

First Dr Ambler ordered a battery of tests for me and my husband. I was diagnosed with PCOS and type 2 diabetes. First, I had to get the diabetes under control - Dr Ambler prescribed metformin and referred me to an endocrinologist. After several months, I was able to resume treatment with Dr Ambler. She prescribed femara with a trigger shot, and I also had appointments for monitoring. The first cycle did not result in pregnancy, so we decided to try again. If that cycle had not resulted in pregnancy (it did!), Dr Ambler mentioned that we would begin to consider other alternatives. Since my problem was that I was not ovulating, we would skipped IUI and probably moved to IVF.

Very low costs - my insurance covered diagnostics. I paid for prescriptions.

She was blunt and straightforward. We felt like they were in business to make money and not to help people. She acted irritated when I asked to look at test results that I paid for. Once they knew we didn’t have financing we felt like we were pushed to the back burner

Be prepared to spend all of your money

We didn’t make it far enough for treatment strategies

We spent 3-4K on tests to find out that we needed IVF

I had a great experience and had a successful pregnancy after her prescribed treatment. I felt she was very realistic in my diagnosis (she didn’t sugar coat anything) and talked about multiple plans if our first plan was unsuccessful. I felt very hopeful after meeting with her from the first visit.

Don’t expect things to be sugar coated, she gives you the truth which is sometimes hard to hear but she does it with concern and compassion.

I had a full workup and had poor egg health and heterozygous MTHFR. She prescribed a supplement to help with egg health. I also took baby aspirin and progesterone after I ovulated. Once I became pregnant I took prednisone for the first 12 weeks.

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